SLUCARE
NPI 1184266413
Pediatrics - Pediatric Rheumatology in Saint Louis, MO

Q: What is St Louis University's NPI number?

The NPI number for St Louis University is 1184266413. It was assigned to this organization in the NPPES registry on October 8, 2019. The provider is doing business as Slucare.

Q: What is St Louis University's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Active since October 08, 2019CLIA Certified · 5 labs

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 268-4010 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2021, Oct 8, 2019 (2 updates tracked since 2019).

On this page

About Slucare NPPES

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

SLUCARE (NPI 1184266413) is a healthcare organization registered as a pediatric rheumatology in Saint Louis, Missouri and active in the NPI registry since October 2019. The organization holds 5 active CLIA laboratory certificates and lists Alyce Lanxon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184266413

Entity TypeOrganization

Primary Taxonomy2080P0216X

Legal Business NameST LOUIS UNIVERSITY

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address3545 Lindell Blvd Fl 3Saint Louis, MO 63103-1020 · (314) 977-6828 · Fax (314) 977-6872

Phone(314) 268-4010

Organization SubpartNo

Authorized OfficialAlyce LanxonExecutive Director · (314) 977-6828

Enumeration DateOctober 8, 2019

Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1184266413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0216X

Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1465 S GRAND BLVD, Saint Louis, MO 63104

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Other Names 1

Doing Business AsSlucare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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 Compliance 26D0872684

Slucare Physician Group Derm Mohs Csm · Saint Louis, MO

Active · expires Apr 12, 2028

CLIA Number26D0872684

Laboratory TypeIndependent

Certificate Effective DateApril 13, 2026

Certificate Expiration DateApril 12, 2028

Laboratory DirectorRamona Behshad

Laboratory Phone(314) 617-2709

Laboratory LocationSlucare Physician Group Derm Mohs Csm1225 S Grand Blvd, 3rd Floor, Saint Louis, MO 63104

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 26D0685174

Slucare Physician Group Pathology Independent Laboratory · Saint Louis, MO

Active · expires Aug 18, 2027

CLIA Number26D0685174

Laboratory TypeIndependent

Certificate Effective DateAugust 19, 2025

Certificate Expiration DateAugust 18, 2027

Laboratory DirectorDr. Govind Bhagat

Laboratory Phone(314) 977-4646

Laboratory LocationSlucare Physician Group Pathology Independent Laboratory1402 South Grand, Saint Louis, MO 63104

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 26D0670369

Slucare Physician Group Dermatopathology Lab · Saint Louis, MO

Active · expires May 28, 2027

CLIA Number26D0670369

Laboratory TypeIndependent

Certificate Effective DateMay 29, 2025

Certificate Expiration DateMay 28, 2027

Laboratory DirectorDr. Maria Y. Hurley

Laboratory Phone(314) 617-2709

Laboratory LocationSlucare Physician Group Dermatopathology Lab1225 S Grand Blvd, 3rd Floor, Saint Louis, MO 63104

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0671826

Slucare Physician Group Gen Derm Csm · Saint Louis, MO

Active · expires May 1, 2027

CLIA Number26D0671826

Laboratory TypePhysician Office

Certificate Effective DateMay 2, 2025

Certificate Expiration DateMay 1, 2027

Laboratory DirectorM Yadira Hurley

Laboratory Phone(314) 617-2709

Laboratory LocationSlucare Physician Group Gen Derm Csm1225 S Grand Blvd, Third Floor, Saint Louis, MO 63104

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 26D2322339

Slucare Family And Community Medicine Clinics · Saint Louis, MO

Active · expires Apr 17, 2027

CLIA Number26D2322339

Laboratory TypeHospital

Certificate Effective DateApril 18, 2025

Certificate Expiration DateApril 17, 2027

Laboratory DirectorTimothy S. Isbell

Laboratory Phone(314) 257-1022

Laboratory LocationSlucare Family And Community Medicine Clinics1225 S Grand Ave, Saint Louis, MO 63104

CLIA data matches this NPI record on: 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.

ADRIENNE G TILBOR DO

Physical Medicine & Rehabilitation