Organization Active NPI

Midwest Toxicology Group, LLC

  • Clinical Medical Laboratory
  • Creve Coeur, MO
National Provider Identifier
1790179422
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MIDWEST TOXICOLOGY GROUP, LLC
Practice address
777 Craig Rd
#230
Creve Coeur, MO 63141-7138
Phone
(225) 303-1055
Fax
(314) 442-4045
NPI assigned
Mar 19, 2015
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Carlos E HimplerNPI 1295132835
Title
Consultant
Phone
(225) 303-1055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

777 Craig Rd
#230
Creve Coeur, MO 63141-7138

Mailing address

777 Craig Rd
#230
Creve Coeur, MO 63141-7138
Phone (225) 303-1055

Other identifiers 1

IdentifierTypeStateIssuer
0000OtherMOINDEPENDENT CLINICAL LABORATORY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1790179422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "#230",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "225-303-1055",
            "fax_number": "314-442-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "#230",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "225-303-1055",
            "fax_number": "314-442-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST TOXICOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "HIMPLER",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "225-303-1055"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT CLINICAL LABORATORY",
            "identifier": "0000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.