Active NPI
Carolyn J Oneill Inc
- Clinical Medical Laboratory
- St Louis, MO
National Provider Identifier
1700927993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 07113
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8364 | Other | HEALTHCARE USA | |
| 31412 | Other | BLUE CROSS BLUE SHIELD | |
| 4649 | Other | GHP ADVENTRA | |
| BLC24049 | Other | BLUE CHOICE | |
| 889058 | Other | COMMUNITY CARE PLUS |
Other names 1
- Mager and Gougelman of St Louis
National Provider Directory
National Provider DirectoryNPI 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.