POPLAR BLUFF REGIONAL MEDICAL CENTER
Clinical Medical Laboratory

Address: 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573

POPLAR BLUFF REGIONAL MEDICAL CENTER (NPI# 1073133237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073133237
Entity Type Organization
Organization Name POPLAR BLUFF REGIONAL MEDICAL CENTER
Practice Address 3100 Oak Grove Rd
Poplar Bluff
MO 63901-1573
Practice Telephone 5736865311
Mailing Address 3100 Oak Grove Rd
Poplar Bluff
MO 63901-1573
Certification Date 2020-04-17
Enumeration Date 2020-04-17
Last Update Date 2020-04-17
Authorized Official Telephone 6157781502
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Poplar Bluff Regional Medical Center Doing Business As Name

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1205879426 Poplar Bluff Regional Medical Center · Piedmont Family Pharmacy 1 Hals Plaza, Piedmont, MO 63957 2006-06-14

Office Location

Street Address 3100 OAK GROVE RD
City POPLAR BLUFF
State MO
Zip Code 63901-1573

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053350256 Hanumanth K Reddy Internal Medicine · Interventional Cardiology 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2006-06-05
1770185472 Capital Anesthesia Solutions of Missouri, LLC Anesthesiology 3100 Oak Grove Rd, Rombauer, MO 63901-1573 2020-11-09
1558985911 Poplar Bluff Regional Medical Center LLC Medicare Defined Swing Bed Unit 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2020-06-02
1568946515 Carol Lee Pratt · Carol Lee Mcgee Nurse Practitioner 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2018-09-15
1457842163 Rachel Matthews Social Worker 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2018-05-29
1669995155 Stacy Lee Taylor Registered Nurse · General Practice 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2017-07-17
1689110611 Prachi Avinash Pophali Internal Medicine 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2017-01-14
1588118020 Abhishek Ambarisha Bhandiwad Internal Medicine 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2016-08-13
1982056545 Butler Physician Services, LLC Pediatrics 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2016-07-07
1720445463 Theresa Louise Pennington Nurse Practitioner · Family 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2016-01-26
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1174116875 Christine Lynn Fraire Behavior Technician 2995 Warrior Lane, Poplar Bluff, MO 63901 2021-02-15
1750979399 Robert Joseph Tonner Jr. Pharmacist 1301 Shelby Road, Poplar Bluff, MO 63901 2021-01-08
1568076701 Alternative Sleep Solution Dentist · General Practice 2700 Kanell Blvd., Poplar Bluff, MO 63901 2020-09-04
1285271239 Front Door Wellness LLC Physical Therapist Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 2019-12-09
1780195966 Midwest Equipment Srv Systems LLC · Definitive Laboratory Services, LLC Technician, Pathology · Phlebotomy 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 2017-10-16
1699136275 Donja Kirkland Recreation Therapist 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 2016-03-10
1407246390 Lisa Marie Payne Physical Therapist 4358c Highway Pp, Poplar Bluff, MO 63901 2015-01-29
1184023673 Mary Thornburgh Registered Nurse 101 South Main, Poplar Bluff, MO 63901 2014-08-20
1194131466 Racheal Ward · Racheal Clyburn Counselor · Mental Health 3001 Warrior Lane, Family Counseling Center, Inc., Poplar Bluff, MO 63901 2014-07-08
1366853715 Abigail Smith Podiatrist · Foot & Ankle Surgery 225 Physicians Park Ste 102, Poplar Bluff, MO 63901 2014-05-19
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659592111 Gamma Laboratory 1910 Greenwood Dr, Poplar Bluff, MO 63901-2430 2007-05-01
1669522199 J L Costin, Md, PC · Physicians Pathology Services 3069 N Westwood Blvd, Ste A, Poplar Bluff, MO 63901 2007-01-10
1578712741 John J Pershing Va Medical Center 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2008-09-12
1740361690 Gamma Healthcare Inc 1717 W Maud St, Poplar Bluff, MO 63901-4003 2006-10-18
1912985409 Kneibert Clinic LLC · Kneibert Clinic Lab 686 Lester St, Poplar Bluff, MO 63901 2006-01-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558952366 Eurofins Bioanalytical Services 15 Research Park Dr Bldg 15, Saint Charles, MO 63304-5601 2021-02-03
1003406232 Stl Diagnostic LLC 5203 Chippewa St Ste 200, Saint Louis, MO 63109-2356 2021-01-21
1801499819 River City Laboratory, LLC 212 S Woodbine Rd # 230-125, Saint Joseph, MO 64506-3447 2020-11-20
1164032744 Laboratory Corporation of America 3009 N Ballas Rd Ste 100b, Saint Louis, MO 63131-2322 2020-08-07
1467070011 C2n Diagnostics, LLC 20 South Sarah Street, Saint Louis, MO 63108 2020-07-10
1942825633 Midwest Innovation Laboratory LLC · Hdl Labs 763 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8704 2020-06-09
1588288815 Mobile Response Diagnostics LLC · Rapid Medlab 2716 Telegraph Rd Ste 105, Saint Louis, MO 63125-4080 2020-06-02
1740801893 Kbn Diagnostics, LLC 11612 Oak St, Kansas City, MO 64114-5623 2020-04-29
1477172062 David Eric Arnold 2309 Time Centre Dr, Saint Charles, MO 63303-2104 2020-04-13
1104474360 Mmi Laboratory Services, LLC 1927 S National Ave Ste A, Springfield, MO 65804-2279 2019-08-30
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Competitor

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City POPLAR BLUFF
Zip Code 63901

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1962446054 Poplar Bluff Regional Medical Center LLC · Poplar Bluff Regional Medical Center General Acute Care Hospital 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 2006-06-16
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Dataset Information

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.