Arch City Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ARCH CITY LAB LLC

Practice address

1515 N Warson Rd Ste 101
Saint Louis, MO 63132-1108

Phone

(855) 827-4777

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nikko Farmer

Title

Owner

Phone

(855) 827-4777

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1558947754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633380037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321108",
            "telephone_number": "855-827-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH CITY LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "NIKKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-827-4777"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Arcario, MD
• Ann Eagan Arcese, ANP
• Arch Angel Services
• Arch Audiology LLC
• Arch Bariatrics LLC
• Arch Medical Services Inc (The Center for Cancer Care and Research)
• Arch Neurorehab LLC
• Arch Neurosurgery, LLC
• Arch Pediatrics LLC
• Arch Primary Care III LLC

• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.