Mid Star Lab Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MID STAR LAB INC

Practice address

5205 E Kellogg Dr Ste 101
Wichita, KS 67218-1634

Phone

(316) 749-2661

Fax

(844) 409-6687

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Heather Dawn O'Brien

Title

Owner/ Ceo

Phone

(913) 369-8734

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mid Star Lab Inc

  • Prosthetic/Orthotic Supplier
  • Topeka, KS
  • NPI 1639691884

  7214180991

  Same PAC ID
• Mid Star Lab Inc

  • Durable Medical Equipment & Medical Supplies
  • Tonganoxie, KS
  • NPI 1962760405

  7214180991

  Same PAC ID
• Mid Star Lab Inc

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1386166536

  7214180991

  Same PAC ID
• Mid Star Lab Inc

  • Prosthetic/Orthotic Supplier
  • Del City, OK
  • NPI 1588194054

  7214180991

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Mid Star Lab Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Mid Star Lab Inc

  • Prosthetic/Orthotic Supplier
  • Topeka, KS
  • NPI 1639691884
  NPD tax ID
• Mid Star Lab Inc

  • Durable Medical Equipment & Medical Supplies
  • Tonganoxie, KS
  • NPI 1962760405
  NPD tax ID
• Mid Star Lab Inc

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1386166536
  NPD tax ID
• Mid Star Lab Inc

  • Prosthetic/Orthotic Supplier
  • Del City, OK
  • NPI 1588194054
  NPD tax ID

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1831578368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COMMERCE RD",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660865369",
            "telephone_number": "913-369-8734",
            "fax_number": "844-409-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 E KELLOGG DR STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181634",
            "telephone_number": "316-749-2661",
            "fax_number": "844-409-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID STAR LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "913-369-8734"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5205 E Kellogg Dr",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672181633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Wichita, KS
• Providers in Wichita, KS by specialty
• Prosthetic/Orthotic Supplier in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.