Organization Active NPI

Carolyn J Oneill Inc

  • Clinical Medical Laboratory
  • St Louis, MO
National Provider Identifier
1700927993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
07113 Issued in MO
Legal business name
CAROLYN J ONEILL INC
Practice address
1034 S Brentwood Blvd
Suite 1880
St Louis, MO 63117-1218
Phone
(314) 726-1818
Fax
(314) 726-0295
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carolyn Jean Oneill, BCO BADO
Title
President Owner
Phone
(314) 726-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 07113 MO Primary

Addresses

Primary practice location

1034 S Brentwood Blvd
Suite 1880
St Louis, MO 63117-1218

Mailing address

1034 S Brentwood Blvd
Suite 1880
St Louis, MO 63117-1218
Phone (314) 726-1818

Other identifiers 5

IdentifierTypeStateIssuer
8364OtherHEALTHCARE USA
31412OtherBLUE CROSS BLUE SHIELD
4649OtherGHP ADVENTRA
BLC24049OtherBLUE CHOICE
889058OtherCOMMUNITY CARE PLUS

Other names 1

  • Mager and Gougelman of St Louis Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700927993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 1880",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171218",
            "telephone_number": "314-726-1818",
            "fax_number": "314-726-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 1880",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171218",
            "telephone_number": "314-726-1818",
            "fax_number": "314-726-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN J ONEILL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "314-726-1818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCO BADO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "07113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "8364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP ADVENTRA",
            "identifier": "4649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "BLC24049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE PLUS",
            "identifier": "889058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mager and Gougelman of St Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.