My Blooming Health Lab, Inc

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

MY BLOOMING HEALTH LAB, INC

Practice address

2040 Woodson Rd Ste 204a
Saint Louis, MO 63114-5697

Phone

(314) 942-3273

Fax

(314) 584-2205

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Danita L Smith, RNNPI 1821534298

Title

Owner

Phone

(314) 942-3272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danita Smith, RN

  • Clinical Medical Laboratory
  • Florissant, MO
  • NPI 1821534298
  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1841945680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WOODSON RD STE 204A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145697",
            "telephone_number": "314-942-3273",
            "fax_number": "314-584-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WOODSON RD STE 204A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145697",
            "telephone_number": "314-942-3273",
            "fax_number": "314-584-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BLOOMING HEALTH LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-942-3272",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K. Mwangi, M.D.
• Katelyn L Mwangi, OT
• Muithi Mwangangi Mwanthi, MD
• Kabeya Mwintshi, MD
• Angelina Mwonga, DDS
• My Blooming Health Mobile, LLC
• My Destinee Home Health, LLC
• My Gaudian Angels LLC
• My Kids Dentist St. Louis, PC
• My Mothers Wish Home Health Services LLC

• Clinical Laboratory Director (Non-physician) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Laboratory Director (Non-physician) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.