Excel Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXCEL DIAGNOSTICS LLC

Practice address

1451 Mullanphy St
Saint Louis, MO 63106-3114

Phone

(636) 633-9768

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Nadia Sidiki

Title

Medical Biller

Phone

(636) 614-5754

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1811553365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 MULLANPHY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 MULLANPHY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063114",
            "telephone_number": "636-633-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "SIDIKI",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "636-614-5754"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LC001637603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Marie Ewing, MS, CCC-SLP
• Nicole Ewing
• Renee D Ewing, M.D.
• Thomas Charles Ewing, D.D.S.
• Excel Care Orthopedics, Inc.
• Excel Home Health Care
• Excel Home Health Care L.P.
• Excel Home Health Care L.P.
• Excel Medical Services LLC
• Excelcare Home Health Services LLC

• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, 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 May 9, 2019; 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.