MERCY LABS JEFFERSON, LLC (NPI# 1063841948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063841948 |
| Entity Type | Organization |
| Organization Name | MERCY LABS JEFFERSON, LLC |
| Practice Address |
1400 Highway 61 South Crystal City MO 63019 |
| Practice Telephone | 6369331000 |
| Mailing Telephone | 6369331000 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | MR. ERIC EOLOFF (PRESIDENT) |
| Authorized Official Telephone | 3146286350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
1400 HIGHWAY 61 SOUTH |
| City | CRYSTAL CITY |
| State | MO |
| Zip Code | 63019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487148532 | Dedicated Home Health Care LLC | Home Health | 810 Burgess Ave, Crystal City, MO 63019 | 2018-06-20 |
| 1861764342 | Tiffany Nicole Thomas | Counselor | 508 North Truman Blvd, Upper Level J, Crystal City, MO 63019 | 2012-01-31 |
| 1891063772 | Diana Kay Schaffer | Counselor | 400-d South Truman Blvd., Crystal City, MO 63019 | 2011-12-07 |
| 1023265147 | Debra K Gremminger | Nurse Practitioner | 1400 Us Highway 61 South, Crystal City, MO 63019 | 2008-08-20 |
| 1114192978 | Interventional Pain Institute | Anesthesiology | 1479 Hwy 61, Suite D, Crystal City, MO 63019 | 2008-04-23 |
| 1497929830 | Sara M Taylor | Emergency Medicine | 1400 U.S. Hwy 61 S, Crystal City, MO 63019 | 2008-04-16 |
| 1598960965 | Lisa Ann Ramacher | Physical Therapist | 1400 Us Hwy 61 S, Crystal City, MO 63019 | 2007-06-18 |
| 1518086263 | Heart & Vascular Associates, Inc. | Internal Medicine | 170 Industrial Drive, Suite 103, Crystal City, MO 63019 | 2007-03-27 |
| 1215010095 | East Missouri Pharmacy Services, LLC | Pharmacy | 1447 U.S. Highway 61, Suite A, Crystal City, MO 63019 | 2006-10-23 |
| 1457459281 | Velma Mata | Physician Assistant | Highway 61 S, Crystal City, MO 63019 | 2006-09-20 |
| Find all providers in zip 63019 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL CITY |
| Zip Code | 63019 |
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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.