Active NPI
Aim Laboratories LLC
- Clinical Medical Laboratory
- Bridgeton, MO
National Provider Identifier
1902032121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AIM LABORATORIES LLC
- Practice address
- 3165 McKelvey Road
Suite 110
Bridgeton, MO 63044 - Phone
- (314) 743-3748
- Fax
- (314) 743-3749
- NPI assigned
- Jun 2, 2009
- Last updated
- Jul 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashlie Torres
- Title
- Managing Director
- Phone
- (760) 397-7274
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | LC0962178 | MO | |
| Clinical Medical Laboratory | 291U00000X | MO | Primary |
Addresses
Primary practice location
3165 McKelvey Road
Suite 110
Bridgeton, MO 63044
Mailing address
3165 McKelvey Road
Suite 110
Bridgeton, MO 63044
Phone (314) 743-3748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090918000041 | MO | Part B Supplier - Independent Clinical Laboratory | 6507912433 | Practice locations: Bridgeton, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1101943 | Aim Laboratories, LLC | Accreditation | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
3165 McKelvey Rd
Ste 110
Bridgeton, MO 63044
Phone (314) 743-3748
9326 Olive Blvd
Ste Ll
Saint Louis, MO 63132
Phone (314) 743-3748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1902032121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3165 MCKELVEY ROAD",
"address_2": "SUITE 110",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-743-3748",
"fax_number": "314-743-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3165 MCKELVEY ROAD",
"address_2": "SUITE 110",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-743-3748",
"fax_number": "314-743-3749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIM LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-02",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "ASHLIE",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "760-397-7274"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MO",
"license": "LC0962178",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.