LABONE LLC (NPI# 1063743599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063743599 |
| Entity Type | Organization |
| Organization Name | LABONE LLC |
| Other Organization Name | QUEST DIAGNOSTICS |
| Practice Address |
1240 N Butterfield Rd Bolivar MO 65613-3016 |
| Mailing Address |
1001 Adams Ave 2nd Floor Mrgov Norristown PA 19403-2429 |
| Practice Telephone | 4173266502 |
| Mailing Telephone | 4846767000 |
| Mailing Fax Number | 4846765309 |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | J PABLO LAKE (VP OF REVENUE SERVICES) |
| Authorized Official Telephone | 4846767000 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUEST DIAGNOSTICS INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Quest Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768213 | Labone LLC | Clinical Medical Laboratory | 303 N Keene St Fl 1, Columbia, MO 65201-8050 | 2019-03-06 |
| 1841758265 | Labone LLC | Clinical Medical Laboratory | 1704 Christy Ct Ste A, Jefferson City, MO 65101-2803 | 2019-03-05 |
| 1073071486 | Labone LLC | Clinical Medical Laboratory | 1706 S Ingram Ave Fl 1, Sedalia, MO 65301-7536 | 2019-03-05 |
| 1700344116 | Labone LLC | Clinical Medical Laboratory | 2003 W Broadway Ste 103, Columbia, MO 65203-1136 | 2019-03-05 |
| 1902360019 | Labone LLC | Clinical Medical Laboratory | 200 Portland St Fl 1, Columbia, MO 65201-6525 | 2019-01-23 |
| 1972857407 | Labone LLC | Clinical Medical Laboratory | 1417 North Mount Auburn Road, Suite B, Cape Girardeau, MO 63701-2171 | 2012-11-06 |
| 1043575111 | Labone LLC | Clinical Medical Laboratory | 4625 Lindell Boulevard, Suite 507, St Louis, MO 63108-3725 | 2012-07-05 |
| 1235413428 | Labone LLC | Clinical Medical Laboratory | 1242 E Independence St Ste 200, Springfield, MO 65804-4284 | 2011-10-06 |
| 1861721664 | Labone LLC | Clinical Medical Laboratory | 8631 W 150th St Ste 101a, Overland Park, KS 66223-2294 | 2009-12-08 |
| 1477880862 | Labone LLC | Clinical Medical Laboratory | 6645 Shelpley Drive, St Louis, MO 63105-0000 | 2009-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | LABONE LLC | 10101 Renner Blvd, Lenexa, KS 66219 |
| Virginia Business Entities | LabOne LLC | 10101 Renner Boulevard, Lenexa, Kansas 66219 |
| Street Address |
1240 N BUTTERFIELD RD |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262278 | Ronda S Entlicher-stewart | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2005-11-18 |
| 1194211664 | Olivia Jenae Cumley | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2018-07-07 |
| 1437679560 | Kayla Kittle | Family Medicine | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2017-06-20 |
| 1285184226 | Bolivar Family Care Center | Clinic/Center | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2016-10-13 |
| 1043760341 | Kyla Inman | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2016-10-11 |
| 1740682657 | Janet Amoakoah Ofori-yeboah | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2014-09-23 |
| 1851737225 | Danielle Marie Seiner | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2013-05-13 |
| 1477838571 | Chastity Mccullick | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2011-10-20 |
| 1063588960 | Citizens Memorial Healthcare | Clinic/Center | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2006-11-24 |
| 1588772248 | Ronald L Vance | Family Medicine | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2006-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1295064715 | Megco Management Co. | Clinical Medical Laboratory | 300 Yant St, Bolivar, OH 44612-9712 | 2009-12-11 |
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| 1962009498 | Polk Medical Testing Solutions LLC | Clinical Medical Laboratory | 3430 Mckelvey Rd Ste L, Bridgeton, MO 63044-2556 | 2020-10-07 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1942825633 | Midwest Innovation Laboratory LLC | Clinical Medical Laboratory | 763 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8704 | 2020-06-09 |
| 1588288815 | Mobile Response Diagnostics LLC | Clinical Medical Laboratory | 7739 Folk Ave, Maplewood, MO 63143-1116 | 2020-06-02 |
| 1740801893 | Kbn Diagnostics, LLC | Clinical Medical Laboratory | 11612 Oak St, Kansas City, MO 64114-5623 | 2020-04-29 |
| 1477172062 | David Eric Arnold | Clinical Medical Laboratory | 2309 Time Centre Dr, Saint Charles, MO 63303-2104 | 2020-04-13 |
| 1104474360 | Mmi Laboratory Services, LLC | Clinical Medical Laboratory | 1927 S National Ave Ste A, Springfield, MO 65804-2279 | 2019-08-30 |
| 1265084206 | Helix Specialty Diagnostics | Clinical Medical Laboratory | 2515 Bernadette Dr, Columbia, MO 65203-4674 | 2019-07-10 |
| 1851955934 | Precision Labs LLC | Clinical Medical Laboratory | 12855 N Outer 40 Dr Ste 194, Saint Louis, MO 63141-8622 | 2019-04-24 |
| 1316407265 | Integrity Diagnostics LLC | Clinical Medical Laboratory | 12855 N 40 Dr Ste 345, Saint Louis, MO 63141-8622 | 2019-03-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.