MID STAR LAB INC NPI 1831578368

NPI Information

NPI: 1831578368
Provider Name: MID STAR LAB INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
5205 E KELLOGG DR
WICHITA, KS
ZIP 67218
Phone: (913) 369-8734
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MID STAR LAB INC is a prosthetic orthotic supplier in Wichita, KS. The provider is 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. MID STAR LAB INC NPI is 1831578368. The provider is registered as an organization entity type.

The provider's business location address is:

5205 E KELLOGG DR
WICHITA, KS
ZIP 67218-633
Phone: (913) 369-8734
Fax: (913) 369-2886

The provider's authorized official is Kari Wagner .
The authorized official title is Ceo and has the following contact phone number (913) 369-8734.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 12/9/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	335E00000X	Prosthetic/Orthotic Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200721440A	MEDICAID	OKLAHOMA

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: 11/14/2023

NPI Synchronization or Removal

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