Organization Active NPI

United Diagnostic Services Inc

  • Clinical Medical Laboratory
  • Saint Louis, MO
National Provider Identifier
1821180639
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNITED DIAGNOSTIC SERVICES INC
Practice address
9495 Page Ave
Suite 103
Saint Louis, MO 63132-1521
Phone
(314) 721-5803
Fax
(314) 218-2221
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Mr. Roger M. Berent
Title
President/Ceo
Phone
(314) 721-5803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9495 Page Ave
Suite 103
Saint Louis, MO 63132-1521

Mailing address

9495 Page Ave
Suite 103
Saint Louis, MO 63132-1521
Phone (314) 721-5803

National Provider Directory

National Provider Directory

Locations

9495 Page Ave
Ste 103
Saint Louis, MO 63132
Phone (314) 721-5803

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1821180639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 PAGE AVE",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321521",
            "telephone_number": "314-721-5803",
            "fax_number": "314-218-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 PAGE AVE",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321521",
            "telephone_number": "314-721-5803",
            "fax_number": "314-218-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "BERENT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "314-721-5803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 26, 2009; 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.