Active NPI
Express Clinical Services
- Medical Specialty Clinic/Center
- Saint Louis, MO
National Provider Identifier
1780323758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- EXPRESS CLINICAL SERVICES
- Practice address
- 7321 S Lindbergh Blvd Ste 320
Saint Louis, MO 63125-4500 - Phone
- (314) 222-7344
- NPI assigned
- May 29, 2022
- 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
- Otis Gamble
- Title
- General Manager
- Phone
- (618) 301-9845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
7321 S Lindbergh Blvd Ste 320
Saint Louis, MO 63125-4500
Mailing address
2105 Vandalia St Ste 9
Collinsville, IL 62234-4859
Phone (618) 301-9845
Other practice location 1
222 S 2nd St
Saint Charles, MO 63301-2809
Phone (314) 222-7344
Other practice location 2
2105 Vandalia St Ste 9
Collinsville, IL 62234-4859
Phone (314) 222-7344
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | simplepractice.com |
National Provider Directory
National Provider DirectoryLocations
2105 Vandalia St
Ste 9
Collinsville, IL 62234
Phone (314) 222-7344
7321 S Lindbergh Blvd
Ste 320
Saint Louis, MO 63125
Phone (314) 222-7344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653782400000",
"number": "1780323758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 VANDALIA ST STE 9",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344859",
"telephone_number": "618-301-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7321 S LINDBERGH BLVD STE 320",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631254500",
"telephone_number": "314-222-7344"
}
],
"practiceLocations": [
{
"address_1": "222 S 2nd St",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012809",
"country_code": "US",
"telephone_number": "314-222-7344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2105 Vandalia St Ste 9",
"address_purpose": "LOCATION",
"city": "Collinsville",
"state": "IL",
"postal_code": "622344859",
"country_code": "US",
"telephone_number": "314-222-7344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EXPRESS CLINICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-29",
"last_updated": "2022-05-29",
"certification_date": "2022-04-04",
"status": "A",
"authorized_official_last_name": "GAMBLE",
"authorized_official_first_name": "OTIS",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "618-301-9845"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "simplepractice.com",
"affiliation": "N",
"address_1": "2105 Vandalia St Ste 9",
"city": "Collinsville",
"state": "IL",
"country_code": "US",
"postal_code": "622344859",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.