Active NPI
Nitelife LLC
- Physiological Laboratory
- Troy, MO
National Provider Identifier
1730134784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- License
- N/A
- Legal business name
- NITELIFE LLC
- Practice address
- 100 Sarah Ann Blvd
Troy, MO 63379-2038 - Phone
- (636) 528-0831
- Fax
- (636) 528-0832
- NPI assigned
- May 24, 2006
- 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. Janice A Hoffmeyer, CRTT
- Title
- Ceo/Pres.
- Phone
- (636) 528-0831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | N/A | Primary |
Addresses
Primary practice location
100 Sarah Ann Blvd
Troy, MO 63379-2038
Mailing address
3479 Highway KK
Troy, MO 63379-5709
Phone (636) 528-1330
Other names 1
- Janice Hoffmeyer
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1730134784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3479 HIGHWAY KK",
"city": "TROY",
"state": "MO",
"postal_code": "633795709",
"telephone_number": "636-528-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SARAH ANN BLVD",
"city": "TROY",
"state": "MO",
"postal_code": "633792038",
"telephone_number": "636-528-0831",
"fax_number": "636-528-0832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NITELIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2023-09-06",
"status": "A",
"authorized_official_last_name": "HOFFMEYER",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO/PRES.",
"authorized_official_telephone_number": "636-528-0831",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRTT"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Janice Hoffmeyer",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.