Active NPI
Kneibert Clinic LLC
- Clinical Medical Laboratory
- Poplar Bluff, MO
National Provider Identifier
1912985409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- KNEIBERT CLINIC LLC
- Practice address
- 686 Lester St
Poplar Bluff, MO 63901 - Phone
- (573) 686-2411
- Fax
- (573) 686-8452
- NPI assigned
- Jan 4, 2006
- 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
- Robert E Christian
- Title
- Administrator
- Phone
- (573) 778-7210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
686 Lester St
Poplar Bluff, MO 63901
Mailing address
PO Box 220
Poplar Bluff, MO 63902
Phone (573) 686-2411
Other names 1
- Kneibert Clinic Lab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912985409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "63902",
"telephone_number": "573-686-2411",
"fax_number": "573-686-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 LESTER ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "63901",
"telephone_number": "573-686-2411",
"fax_number": "573-686-8452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNEIBERT CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHRISTIAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-778-7210"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kneibert Clinic Lab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.