360 MEDICAL TESTING SOLUTIONS LLC
NPI 1831961036
Technician, Pathology - Phlebotomy in Florissant, MO

Active since October 23, 2023CLIA 26D2294846 · Waiver
2354 SUCASA DR APT A, FLORISSANT, MO 63031(314) 722-6060 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 360 Medical Testing Solutions Llc NPPES

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

360 MEDICAL TESTING SOLUTIONS LLC (NPI 1831961036) is a healthcare organization registered as a phlebotomy in Florissant, Missouri and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Andra Vaughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831961036
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business Name360 MEDICAL TESTING SOLUTIONS LLC
Location Address2354 SUCASA DR APT AFlorissant, MO 63031-6613
Mailing Address819 S Belt WBelleville, IL 62220-2324 · (618) 744-7006 · Fax (618) 744-7006
Organization SubpartNo
Authorized OfficialAndra VaughnCeo · (314) 722-6060
Enumeration DateOctober 23, 2023
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1831961036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
2354 SUCASA DR APT A, Florissant, MO 63031

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

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 26D2294846

360 Medical Testing Solutions LLC · Belleville, IL
Active · expires Nov 29, 2027
CLIA Number26D2294846
Laboratory TypeMobile Laboratory
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorAndra S. Vaughn
Laboratory Phone(314) 722-6060
Laboratory Location360 Medical Testing Solutions LLC819 S Belt West, Belleville, IL 62220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 360 Medical Testing Solutions LLC's NPI number?

The NPI number for 360 Medical Testing Solutions LLC is 1831961036. It was assigned to this organization in the NPPES registry on October 23, 2023.

Where is 360 Medical Testing Solutions LLC located?

360 Medical Testing Solutions LLC is located at 2354 Sucasa Dr Apt A, Florissant, MO 63031. The listed phone number is (314) 722-6060.

What is 360 Medical Testing Solutions LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does 360 Medical Testing Solutions LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2294846) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 360 Medical Testing Solutions LLC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.