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DYNAMIC DNA LABORATORIES LLC NPI 1659738631


NPI Information

NPI: 1659738631
Provider Name: DYNAMIC DNA LABORATORIES, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 26D2106631

Address:
2144 E REPUBLIC RD
SUITE B204
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 319-1047
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DYNAMIC DNA LABORATORIES, LLC is a clinical medical laboratory in Springfield, MO. The provider is (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. DYNAMIC DNA LABORATORIES, LLC NPI is 1659738631. The provider is registered as an organization entity type.

The provider's business location address is:

2144 E REPUBLIC RD
SUITE B204
SPRINGFIELD, MO
ZIP 65804-623
Phone: (417) 319-1047
Fax: (417) 319-7142

The provider's authorized official is Austin David Lee O'reilly .
The authorized official title is Owner, General Supervisor and has the following contact phone number (417) 861-6723.

The CLIA number assigned to this NPI record is 26D2106631 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/21/2016 and was last updated on 4/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryLC001418393MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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