360 MEDICAL TESTING SOLUTIONS LLC NPI 1831961036

NPI Information

  • NPI: 1831961036
  • Provider Name: 360 MEDICAL TESTING SOLUTIONS LLC
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Organization
  • CLIA Number: 26D2294846
  • Address: 2354 SUCASA DR APT A
    FLORISSANT, MO
    ZIP 63031
  • Phone: (314) 722-6060

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NPI Details

360 MEDICAL TESTING SOLUTIONS LLC is a phlebotomy technician pathology in Florissant, MO. 360 MEDICAL TESTING SOLUTIONS LLC NPI is 1831961036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2354 SUCASA DR APT A
FLORISSANT, MO
ZIP 63031-613
Phone: (314) 722-6060

The provider's authorized official is Andra Vaughn .
The authorized official title is Ceo and has the following contact phone number (314) 722-6060.

The CLIA number assigned to this NPI record is 26D2294846 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2023 and was last updated on 10/27/2025.

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
1246QL0900XSpecialist/Technologist, PathologyLaboratory ManagementNo
2246RP1900XTechnician, PathologyPhlebotomyYes

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: 11/21/2025

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