Healing Waters Labcorp LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HEALING WATERS LABCORP LLC

Practice address

1777 N New Florissant Rd
Florissant, MO 63033-1905

Phone

(314) 755-1403

Fax

(314) 689-0131

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Adrienne HarrisNPI 1497463145

Title

Owner

Phone

(314) 397-6197

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrienne Renee Harris

  • Home Health Agency
  • Florissant, MO
  • NPI 1497463145
  NPD Authorized official

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1740919315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N NEW FLORISSANT RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630331905",
            "telephone_number": "314-755-1403",
            "fax_number": "314-689-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N NEW FLORISSANT RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630331905",
            "telephone_number": "314-755-1403",
            "fax_number": "314-689-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS LABCORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-397-6197"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06082022",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uv Hayes
• Hazelwood School District
• HCR Manorcare
• Healing Hands Home Health Care LLC
• Healing Waters Adult Daycare
• Healing Waters of St Louis LLC
• Healing With Harotian, LLC
• Health Care Connections Services LLC
• Health Market Associates LLC,
• Healthy Life Home Care

• Clinical Medical Laboratory in Florissant, MO
• Providers in Florissant, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.