Midwest Equipment SRV Systems LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

MIDWEST EQUIPMENT SRV SYSTEMS LLC

Practice address

2400 Lucy Lee Parkway
Suite C
Poplar Bluff, MO 63901

Phone

(573) 609-2929

Fax

(314) 552-7511

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Joe A Brumley Jr.

Title

LLC Member

Phone

(314) 308-7527

Specialties & licenses 1

Addresses

Other names 1

• Definitive Laboratory Services, LLC Doing business as

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1780195966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 WILL ROGERS",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-308-7527",
            "fax_number": "314-552-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LUCY LEE PARKWAY",
            "address_2": "SUITE C",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-609-2929",
            "fax_number": "314-552-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EQUIPMENT SRV SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "BRUMLEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "314-308-7527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Definitive Laboratory Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Midwest OB GYN of Missouri, L.L.C.
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• Midwest Therapy Services
• Robert H Mielke, CRNA

• Phlebotomy Technician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Phlebotomy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.