MID STAR LAB INC (NPI# 1831578368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831578368 |
| Entity Type | Organization |
| Organization Name | MID STAR LAB INC |
| Practice Address |
5205 E Kellogg Dr Wichita KS 67218-1633 |
| Mailing Address |
1701 Commerce Rd Tonganoxie KS 66086-5369 |
| Practice Telephone | 9133698734 |
| Practice Fax Number | 9133692886 |
| Mailing Telephone | 9133698734 |
| Mailing Fax Number | 9133692886 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | KARI WAGNER (CEO) |
| Authorized Official Telephone | 9133698734 |
| Authorized Official Credential | CPED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336613298 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se, Albuquerque, NM 87108-2939 | 2019-01-14 |
| 1386166536 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 4001 Blue Pkwy Ste 98, Kansas City, MO 64130-2315 | 2017-07-10 |
| 1588194054 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 5480 Main St Ste 104, Del City, OK 73115-5518 | 2017-06-15 |
| 1043699572 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 380 Limit St, Leavenworth, KS 66048-4525 | 2015-05-29 |
| 1881168748 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St, Phoenix, AZ 85012-2060 | 2019-01-14 |
| 1386118230 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 1702 W Anklam Rd, Tucson, AZ 85745-2606 | 2019-01-14 |
| 1639691884 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 5101 Sw 21st St, Topeka, KS 66604-4419 | 2017-07-10 |
| 1275070419 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 708 S Roosevelt St, Ste 2, Aberdeen, SD 57401-0300 | 2017-01-26 |
| 1376922807 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 3125 Douglas Ave, Des Moines, IA 50310-5365 | 2015-05-29 |
| 1962760405 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 1701 Commerce Rd, Tonganoxie, KS 66086-5369 | 2012-05-02 |
| Street Address |
5205 E KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063598407 | Wichita Kinesiology Group P.a.. | Chiropractor | 5205 E Kellogg Dr, Wichita, KS 67218-1634 | 2006-10-27 |
| 1235320672 | Dr. Steven Kraskow D.c., P.a. | Clinic/Center | 5205 E Kellogg Dr, Wichita, KS 67218-1633 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073742128 | Size and Fit, LLC | Prosthetic/Orthotic Supplier | 1720 N Webb Rd, Suite 110, Wichita, KS 67206-3417 | 2009-07-10 |
| 1013164706 | Aleta's Bras & Lingerie | Prosthetic/Orthotic Supplier | 5601 E Central Ave, Suite A, Wichita, KS 67208-4245 | 2008-08-25 |
| 1255520870 | Peeples Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5400 E Central Avenue, Suite 120, Wichita, KS 67208-4100 | 2007-10-19 |
| 1033242243 | Karin Maj Rieger | Prosthetic/Orthotic Supplier | 3107 E Central, Wichita, KS 67214 | 2007-03-14 |
| 1104963453 | The Wig Lady | Prosthetic/Orthotic Supplier | 4017 W 13th, Wichita, KS 67212 | 2007-01-30 |
| 1992719330 | Cornell Orthotics & Prosthetics Entp. LLC | Prosthetic/Orthotic Supplier | 6108 W Central Ave, Wichita, KS 67212-2844 | 2006-07-29 |
| 1467479899 | Jwm Medical Inc | Prosthetic/Orthotic Supplier | 9727 E Shannon Woods Cir, Suite 180, Wichita, KS 67226-4102 | 2006-07-15 |
| 1083668024 | Personal Image Inc. | Prosthetic/Orthotic Supplier | 1905 N Maize Rd, Wichita, KS 67212-5203 | 2006-05-22 |
| 1669441796 | Capitol Orthopedic Inc. | Prosthetic/Orthotic Supplier | 9727 Shannon Woods Ste 140, Wichita, KS 67226-4102 | 2006-03-14 |
| 1215905609 | Progressive Orthotic & Prosthetic Services, Inc. | Prosthetic/Orthotic Supplier | 1150 N Saint Francis St, Wichita, KS 67214 | 2006-03-10 |
| Find all providers in WICHITA | ||||
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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.