NPIMap

Organization Active NPI

Mid Star Lab Inc

  • Prosthetic/Orthotic Supplier
  • Topeka, KS
National Provider Identifier
1639691884
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MID STAR LAB INC
Practice address
5101 SW 21St St # 200
Topeka, KS 66604-4419
Phone
(785) 422-8221
Fax
(844) 409-6687
NPI assigned
Jul 10, 2017
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Heather Dawn O'Brien
Title
Owner/ Ceo
Phone
(913) 369-8734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

5101 SW 21St St # 200
Topeka, KS 66604-4419

Mailing address

1701 Commerce Rd
Tonganoxie, KS 66086-5369
Phone (913) 369-8734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202000696 KS DME Supplier - Certified Orth/Pros/Pedorthist 7214180991 Practice locations: Topeka, KS

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mid Star Lab5101 SW 21St St, Topeka, KS 66604-4419(785) 422-8221 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Nov 5, 2012

National Provider Directory

National Provider Directory
Tax ID family
Mid Star Lab Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1639691884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COMMERCE RD",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660865369",
            "telephone_number": "913-369-8734",
            "fax_number": "844-409-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SW 21ST ST # 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666044419",
            "telephone_number": "785-422-8221",
            "fax_number": "844-409-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID STAR LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "913-369-8734"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.