MEDTOX LABORATORIES, INC (NPI# 1487639381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487639381 |
| Entity Type | Organization |
| Organization Name | MEDTOX LABORATORIES, INC |
| Practice Address |
402 County Road D W Saint Paul MN 55112-3522 |
| Practice Telephone | 8008323244 |
| Practice Fax Number | 6512866249 |
| Mailing Telephone | 8008323244 |
| Mailing Fax Number | 6512866249 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | KIMBERLY WILLIAMS (VP) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 24D0665278 | MN | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEDTOX LABORATORIES, INC. | 531 S Spring St, Burlington, NC 27215-5866 |
| Massachusetts Corporations | MEDTOX LABORATORIES, INC. | 231 Maple Avenue, Tax Department, Burlington, NC 27215 |
| Street Address |
402 COUNTY ROAD D W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55112-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896964 | Karla Jean Walker | Pharmacist | 402 County Road D W, Saint Paul, MN 55112-3597 | 2019-11-19 |
| 1770654279 | Karen Benedicte Larsen | Pathology | 402 County Road D W, Medtox Laboratories, Inc., Saint Paul, MN 55112-3522 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| 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 |
|---|---|---|---|---|
| 1043848112 | Kingdom Pathways | Clinical Medical Laboratory | 426 Oxford St N, Saint Paul, MN 55104-5080 | 2020-04-01 |
| 1578030839 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 380 W County Road D, Saint Paul, MN 55112-3501 | 2018-10-25 |
| 1881130573 | Biogray, LLC | Clinical Medical Laboratory | 2020 Morgan Ave, Saint Paul, MN 55116-2524 | 2017-01-18 |
| 1013271840 | Neurologia Diagnostics LLC | Clinical Medical Laboratory | 2575 University Ave W, Suite 100, Saint Paul, MN 55114-1073 | 2012-06-26 |
| 1649437435 | Choice Lab Inc | Clinical Medical Laboratory | 1572 Edmund Ave, Suite 101, Saint Paul, MN 55104-2343 | 2008-05-20 |
| 1144397357 | Healtheast Medical Laboratory, LLC | Clinical Medical Laboratory | 45 W 10th Street, Saint Paul, MN 55102-1004 | 2006-11-30 |
| 1740890334 | Quest Diagnostics | Clinical Medical Laboratory | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2020-08-07 |
| 1285244616 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 895 7th St E, Saint Paul, MN 55106-3871 | 2020-07-31 |
| 1902463649 | Phenomix Sciences LLC | Clinical Medical Laboratory | 1000 Westgate Drive, Suite 1002-1003, Saint Paul, MN 55114 | 2019-05-28 |
| 1497235816 | Kama Lab Tech, Inc | Clinical Medical Laboratory | 311 Spruce St, Saint Paul, MN 55101-2446 | 2018-08-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55112 |
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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.