Organization Active NPI

Corelab Diagnostics

  • Clinical Medical Laboratory
  • Saint Louis, MO
National Provider Identifier
1568830602
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
112142 Issued in MO
Legal business name
CORELAB DIAGNOSTICS
Practice address
10854 Midwest Industrial Blvd
Saint Louis, MO 63132-1611
Phone
(314) 736-6709
NPI assigned
Sep 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Zahid Kaleem, M.DNPI 1063476208
Title
President
Phone
(314) 368-1540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 112142 MO Primary

Addresses

Primary practice location

10854 Midwest Industrial Blvd
Saint Louis, MO 63132-1611

Mailing address

10854 Midwest Industrial Blvd
Saint Louis, MO 63132-1611
Phone (314) 736-6709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160603001944 MO Part B Supplier - Independent Clinical Laboratory 3870883713 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2067362Corelab Diagnostics10854 Midwest Industrial Blvd, Saint Louis, MO 63132RegistrationJun 26, 2027

National Provider Directory

National Provider Directory

Locations

10854 Midwest Industrial Blvd
#B
Saint Louis, MO 63132
Phone (314) 736-6709

10854 Midwest Industrial Blvd
Saint Louis, MO 63132
Phone (314) 200-3040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1568830602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10854 MIDWEST INDUSTRIAL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321611",
            "telephone_number": "314-736-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10854 MIDWEST INDUSTRIAL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321611",
            "telephone_number": "314-736-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORELAB DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "KALEEM",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-368-1540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "112142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.