LAURA WAGNER INC
NPI 1194956276
Dermatology in Town And Country, MO

Active since August 06, 2009CLIA 26D0943616 · Microscopy
14377 WOODLAKE DR, SUITE 111, TOWN AND COUNTRY, MO 63017(314) 434-1111(314) 434-1127 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura Wagner Inc NPPES

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

LAURA WAGNER INC (NPI 1194956276) is a healthcare organization registered as a dermatology in Town And Country, Missouri and active in the NPI registry since August 2009. The organization holds a CLIA Microscopy certificate valid through March 30, 2028 and lists Laura Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1194956276
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAURA WAGNER INC
Location Address14377 WOODLAKE DR, SUITE 111Town And Country, MO 63017-5735
Mailing AddressPo Box 790379Saint Louis, MO 63179-0379 · (314) 434-1111 · Fax (314) 434-1112
Fax(314) 434-1127
Organization SubpartNo
Authorized OfficialLaura WagnerPresident · (314) 434-1111
Enumeration DateAugust 6, 2009
Last NPPES UpdateNovember 28, 2012
NPI 1194956276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

14377 WOODLAKE DR, Town And Country, MO 63017

Other Identifiers 2

Other000094839MO · Ptan
Medicare UPINF58335MO

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 for Provider-Performed Microscopy Procedures (PPMP) 26D0943616

Laura Wagner MD · Town And Country, MO
Active · expires Mar 30, 2028
CLIA Number26D0943616
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorLaura Wagner MD
Laboratory Phone(314) 434-1111
Laboratory LocationLaura Wagner MD14377 Woodlake Drive, Ste 111, Town And Country, MO 63017
CLIA data matches this NPI record on: Address Name Phone
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.

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.

Counselor (Mental Health)
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Dentist
14377 WOODLAKE DR, 210
CHESTERFIELD, MO 63017
Social Worker
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Dentist (Pediatric Dentistry)
14377 WOODLAKE DR, SUITE 102
CHESTERFIELD, MO 63017
Counselor
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Psychologist
14377 WOODLAKE DR, #308
CHESTERFIELD, MO 63017
Dentist (Periodontics)
14377 WOODLAKE DR, STE 214
CHESTERFIELD, MO 63017
Counselor (Professional)
14377 WOODLAKE DR, SUITE 311
CHESTERFIELD, MO 63017

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 Laura Wagner Inc's NPI number?

The NPI number for Laura Wagner Inc is 1194956276. It was assigned to this organization in the NPPES registry on August 6, 2009.

Where is Laura Wagner Inc located?

Laura Wagner Inc is located at 14377 Woodlake Dr Suite 111, Town And Country, MO 63017. The listed phone number is (314) 434-1111.

What is Laura Wagner Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Laura Wagner Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0943616) is associated with this NPI, valid through March 30, 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 Laura Wagner Inc was last updated on November 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.