COMMAND PRIME, LLC
NPI 1164289054
Family Medicine in Springfield, MO

Active since March 06, 2024CLIA 26D2308376 · Waiver
2740 N MAYFAIR AVE, SPRINGFIELD, MO 65803(417) 521-3925 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Command Prime, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMAND PRIME, LLC (NPI 1164289054) is a healthcare organization registered as a family medicine in Springfield, Missouri and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through July 25, 2028 and lists Luke Aaron Van Kirk, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1164289054
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMAND PRIME, LLC
Location Address2740 N MAYFAIR AVESpringfield, MO 65803-5084
Mailing Address3238 S National AveSpringfield, MO 65807-7303 · (417) 351-2900
Organization SubpartNo
Authorized OfficialLuke Aaron Van KirkPhysician/owner · (417) 693-8618
Enumeration DateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
NPI 1164289054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2740 N MAYFAIR AVE, Springfield, MO 65803

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2308376

Command Prime, LLC And Command Health · Springfield, MO
Active · expires Jul 25, 2028
CLIA Number26D2308376
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2026
Certificate Expiration DateJuly 25, 2028
Laboratory DirectorLuke A. Van Kirk
Laboratory Phone(417) 799-8902
Laboratory LocationCommand Prime, LLC And Command Health2740 N Mayfair Ave, Springfield, MO 65803
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
2740 N MAYFAIR AVE
SPRINGFIELD, MO 65803
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2740 N MAYFAIR AVE
SPRINGFIELD, MO 65803
Family Medicine
2740 N MAYFAIR AVE
SPRINGFIELD, MO 65803
Clinic/Center (Health Service)
2740 N MAYFAIR AVE
SPRINGFIELD, MO 65803
Dietitian, Registered
2740 N MAYFAIR AVE
SPRINGFIELD, MO 65803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Command Prime, LLC's NPI number?

The NPI number for Command Prime, LLC is 1164289054. It was assigned to this organization in the NPPES registry on March 6, 2024.

Where is Command Prime, LLC located?

Command Prime, LLC is located at 2740 N Mayfair Ave, Springfield, MO 65803. The listed phone number is (417) 521-3925.

What is Command Prime, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Command Prime, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2308376) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Command Prime, LLC was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.