Eminem Hold Co Inc

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

EMINEM HOLD CO INC

Doing business as

True Test HRT

Practice address

3117 Lexington Ave Ste 101
Cape Girardeau, MO 63701-2692

Phone

(573) 803-0935

Fax

(855) 847-0863

NPI assigned

Mar 10, 2022

Last updated

Mar 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Burroughs

Title

Clinic Executive

Phone

(618) 694-0739

Specialties & licenses 1

Addresses

Other names 1

• True Test HRT Doing business as

Locations

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1871241729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 LEXINGTON AVE STE 101",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012692",
            "telephone_number": "573-803-0935",
            "fax_number": "855-847-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 LEXINGTON AVE STE 101",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012692",
            "telephone_number": "573-803-0935",
            "fax_number": "855-847-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINEM HOLD CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CLINIC EXECUTIVE",
        "authorized_official_telephone_number": "618-694-0739"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Test HRT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health & General Preventive Medicine Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Public Health & General Preventive Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.