Organization Active NPI

Lab Health, LLC

  • Phlebotomy Technician
  • Carthage, MO
National Provider Identifier
1609509538
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
LAB HEALTH, LLC
Practice address
2102 B South Garrison Ave
Carthage, MO 64836
Phone
(417) 358-4475
Fax
(417) 358-4407
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Mrs. Ashleigh Rene Gibson
Title
Owner
Phone
(940) 440-0546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

2102 B South Garrison Ave
Carthage, MO 64836

Mailing address

2102 B South Garrison Ave
Carthage, MO 64836
Phone (417) 358-4475

Other identifiers 1

IdentifierTypeStateIssuer
15178103OtherCAQH

National Provider Directory

National Provider Directory

Locations

2102B S Garrison Ave
Carthage, MO 64836
Phone (417) 358-4475

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1609509538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 B SOUTH GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "64836",
            "telephone_number": "417-358-4475",
            "fax_number": "417-358-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 B SOUTH GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "64836",
            "telephone_number": "417-358-4475",
            "fax_number": "417-358-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ASHLEIGH",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-440-0546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15178103",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.