360 Medical Testing Solutions LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

360 MEDICAL TESTING SOLUTIONS LLC

Practice address

2354 Sucasa Dr Apt a
Florissant, MO 63031-6613

Phone

(314) 722-6060

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Andra Vaughn

Title

Ceo

Phone

(314) 722-6060

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1831961036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202324",
            "telephone_number": "618-744-7006",
            "fax_number": "618-744-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 SUCASA DR APT A",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316613",
            "telephone_number": "314-722-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 MEDICAL TESTING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-722-6060"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.