Active NPI
Corelab Diagnostics
- Clinical Medical Laboratory
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 112142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zahid Kaleem, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160603001944 | MO | Part B Supplier - Independent Clinical Laboratory | 3870883713 | Practice locations: Saint Louis, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2067362 | Corelab Diagnostics | Registration | Jun 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1063476208
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.