Active NPI
St Louis University
- Student Health Clinic/Center
- Saint Louis, MO
National Provider Identifier
1598886970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- ST LOUIS UNIVERSITY
- Practice address
- 3518 Laclede Ave
Saint Louis, MO 63103-2011 - Phone
- (314) 977-2323
- Fax
- (314) 977-7165
- NPI assigned
- Apr 3, 2007
- 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
- Mrs. Alyce Lanxon
- Title
- Executive Director
- Phone
- (314) 977-6828
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Student Health Clinic/Center | 261QS1000X | Primary |
Addresses
Primary practice location
3518 Laclede Ave
Saint Louis, MO 63103-2011
Mailing address
3545 Lindell Blvd FL 3
Saint Louis, MO 63103-1020
Phone (314) 977-6828
Other names 1
- SLUCare Department of Student Health & Counseling
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 |
|---|---|---|---|
| 26D0872357 | Saint Louis University Student Health | Provider-performed microscopy | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632182400000",
"number": "1598886970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 LINDELL BLVD FL 3",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031020",
"telephone_number": "314-977-6828",
"fax_number": "314-977-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 LACLEDE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032011",
"telephone_number": "314-977-2323",
"fax_number": "314-977-7165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LOUIS UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "LANXON",
"authorized_official_first_name": "ALYCE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "314-977-6828",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SLUCare Department of Student Health & Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SLUCare Department of Student Health & Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 21, 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.