Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRIME HEALTH SUPPLY LLC
NPI 1689503633
Clinical Medical Laboratory in Saint Louis, MO

Active since May 15, 2026
1023 EXECUTIVE PARKWAY DR, STE 7, SAINT LOUIS, MO 63141(636) 252-0703 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Sep 30, 2026, May 15, 2026 (3 updates tracked since 2026).

About Prime Health Supply Llc NPPES

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

PRIME HEALTH SUPPLY LLC (NPI 1689503633) is a healthcare organization registered as a clinical medical laboratory in Saint Louis, Missouri and active in the NPI registry since May 2026. The organization lists Shagufta Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1689503633
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePRIME HEALTH SUPPLY LLC
Location Address1023 EXECUTIVE PARKWAY DR, STE 7Saint Louis, MO 63141-6323
Mailing Address15009 Manchester Pmb 113Ballwin, MO 63011 · (636) 252-0703
Organization SubpartNo
Authorized OfficialShagufta KhanOwner · (636) 252-0703
Enumeration DateMay 15, 2026
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1689503633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1023 EXECUTIVE PARKWAY DR, Saint Louis, MO 63141

Other Providers at the Same Location NPPES 12

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

Counselor (Professional)
1023 EXECUTIVE PARKWAY DR, SUITE 10
SAINT LOUIS, MO 63141
Psychologist (Clinical)
1023 EXECUTIVE PARKWAY DR, SUITE 8
CREVE COEUR, MO 63141
In Home Supportive Care
1023 EXECUTIVE PARKWAY DR, SUITE 18
SAINT LOUIS, MO 63141
Counselor (Professional)
1023 EXECUTIVE PARKWAY DR
SAINT LOUIS, MO 63141
Counselor (Professional)
1023 EXECUTIVE PARKWAY DR, SUITE 8
SAINT LOUIS, MO 63141
Psychologist
1023 EXECUTIVE PARKWAY DR, STE 8
SAINT LOUIS, MO 63141
Counselor (Mental Health)
1023 EXECUTIVE PARKWAY DR
SAINT LOUIS, MO 63141
Psychologist
1023 EXECUTIVE PARKWAY DR, SUITE 8
SAINT LOUIS, MO 63141

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 Prime Health Supply LLC's NPI number?

The NPI number for Prime Health Supply LLC is 1689503633. It was assigned to this organization in the NPPES registry on May 15, 2026.

Where is Prime Health Supply LLC located?

Prime Health Supply LLC is located at 1023 Executive Parkway Dr Ste 7, Saint Louis, MO 63141. The listed phone number is (636) 252-0703.

What is Prime Health Supply LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Prime Health Supply LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.