ST LOUIS MEDICAL CLINIC, P.C.
NPI 1174505127
Clinic/Center - Infusion Therapy in Saint Louis, MO

Active since November 16, 2005CLIA Certified · 2 labs
3009 N BALLAS RD, SUITE 100B, SAINT LOUIS, MO 63131(314) 432-1111(314) 432-6308 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Jul 2, 2024, Oct 31, 2023 and 1 more (4 updates tracked since 2022).

About St Louis Medical Clinic, P.c. NPPES

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

ST LOUIS MEDICAL CLINIC, P.C. (NPI 1174505127) is a healthcare organization registered as an infusion therapy in Saint Louis, Missouri and active in the NPI registry since November 2005. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Saint Louis, and lists Mindy D Powell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174505127
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameST LOUIS MEDICAL CLINIC, P.C.
Location Address3009 N BALLAS RD, SUITE 100BSaint Louis, MO 63131-2322
Mailing AddressPo Box 778969Chicago, IL 60677-0001 · (314) 432-1111 · Fax (314) 432-6308
Fax(314) 432-6308
Organization SubpartNo
Authorized OfficialMindy D PowellAdministrator · (314) 983-4000
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1174505127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPodiatristTaxonomy 213E00000X
3009 N BALLAS RD, Saint Louis, MO 63131

Other Names 1

Other NameSt. Louis Medical Clinic

Secondary Practice Location 1

Location 11400 LeMay Ferry RdSaint Louis, MO 63125-2408 · Phone (314) 685-8721 · Fax (314) 685-8723

Other Identifiers 1

Other26D2302743MO · Clia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 26D2302743

St Louis Medical Clinic South · Saint Louis, MO
Active · expires Apr 15, 2028
CLIA Number26D2302743
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorHashin S. Raza
Laboratory Phone(314) 983-4000
Laboratory LocationSt Louis Medical Clinic South1400 Lemay Ferry Rd, Saint Louis, MO 63125
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0690592

St Louis Medical Clinic PC · Saint Louis, MO
Active · expires Apr 20, 2028
CLIA Number26D0690592
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorHashim S. Raza
Laboratory Phone(314) 983-1954
Laboratory LocationSt Louis Medical Clinic PC3009 N Ballas Rd, Suite 100B, Saint Louis, MO 63131
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 20

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

Dermatology (MOHS-Micrographic Surgery)
3009 N BALLAS RD, STE 235A
SAINT LOUIS, MO 63131
Physician Assistant
3009 N BALLAS RD, BUILDING B, SUITE 202
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
Clinic/Center (Primary Care)
3009 N BALLAS RD, SUITE 315A
SAINT LOUIS, MO 63131
Surgery (Surgery of the Hand)
3009 N BALLAS RD, DEPT ORTHOPAEDIC SURGERY, STE 320
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 227A
SAINT LOUIS, MO 63131
Specialist
3009 N BALLAS RD, STE 215B
SAINT LOUIS, MO 63131

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 St Louis Medical Clinic, P.C.'s NPI number?

The NPI number for St Louis Medical Clinic, P.C. is 1174505127. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is also known as St. Louis Medical Clinic.

Where is St Louis Medical Clinic, P.C. located?

St Louis Medical Clinic, P.C. is located at 3009 N Ballas Rd Suite 100B, Saint Louis, MO 63131. The listed phone number is (314) 432-1111.

What is St Louis Medical Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Does St Louis Medical Clinic, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St Louis Medical Clinic, P.C. was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.