Organization Active NPI

Stat Medical LLC

  • Clinical Medical Laboratory
  • Ballwin, MO
National Provider Identifier
1619751062
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STAT MEDICAL LLC
Practice address
1843 Dougherty Terrace Dr
Ballwin, MO 63021-5828
Phone
(314) 402-1788
NPI assigned
Aug 24, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Elizabeth Helen Kayser, J.D. (JURIS DOCTOR)
Title
Ceo
Phone
(314) 402-1788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1843 Dougherty Terrace Dr
Ballwin, MO 63021-5828

Mailing address

1843 Dougherty Terrace Dr
Ballwin, MO 63021-5828
Phone (314) 402-1788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1619751062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 DOUGHERTY TERRACE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215828",
            "telephone_number": "314-402-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 DOUGHERTY TERRACE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215828",
            "telephone_number": "314-402-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "KAYSER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-402-1788",
        "authorized_official_credential": "J.D. (JURIS DOCTOR)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.