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MEDSTOP ONE DIAGNOSTICS LLC NPI 1871893743


NPI Information

NPI: 1871893743
Provider Name: MEDSTOP ONE DIAGNOSTICS LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 26D0936005

Address:
3065 WILLIAM ST
STE 211
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 335-4100
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MEDSTOP ONE DIAGNOSTICS LLC is a general practice in Cape Girardeau, MO. MEDSTOP ONE DIAGNOSTICS LLC NPI is 1871893743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3065 WILLIAM ST
STE 211
CAPE GIRARDEAU, MO
ZIP 63703-393
Phone: (573) 335-4100
Fax: (573) 339-7887

The provider's authorized official is Stacey L Gallaher .
The authorized official title is Billing and has the following contact phone number (573) 335-1779.

The CLIA number assigned to this NPI record is 26D0936005 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2010 and was last updated on 10/7/2020.


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
1208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.