1. Home
  2. Directory
  3. Missouri
  4. Washington
  5. Clinic Center
  6. NPI Profile

MISSOURI OCCUPATIONAL MEDICINE
NPI 1972369619
Clinic/Center - Corporate Health in Washington, MO

Active since February 21, 2024CLIA 26D2119419 · Waiver
1 W 12TH ST, WASHINGTON, MO 63090(636) 239-0735 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Missouri Occupational Medicine NPPES

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

MISSOURI OCCUPATIONAL MEDICINE (NPI 1972369619) is a healthcare organization registered as a corporate health in Washington, Missouri and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Bobby Enkvetchakul, Physician, as its authorized official.

NPPES Registry Identity

NPI1972369619
Entity TypeOrganization
Primary Taxonomy261QC1800X
Legal Business NameMISSOURI OCCUPATIONAL MEDICINE
Location Address1 W 12TH STWashington, MO 63090-4416
Mailing AddressPo Box 1275Washington, MO 63090-8275 · (636) 390-9277 · Fax (636) 239-0907
Phone(636) 239-0735
Organization SubpartNo
Authorized OfficialBobby EnkvetchakulPhysician · (636) 239-0735
Enumeration DateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1972369619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Corporate HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1800X
1 W 12TH ST, Washington, MO 63090
Open in Google Maps ↗

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 26D2119419

Missouri Occupational Medicine · Washington, MO
Active · expires Sep 26, 2026
CLIA Number26D2119419
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorBobby V. Envetchakul
Laboratory Phone(636) 239-0735
Laboratory LocationMissouri Occupational Medicine851 E 5th St Ste152, Washington, MO 63090
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BOBBY VITAYA ENKVETCHAKUL MD
Clinic/Center (Occupational Medicine)
1 W 12TH ST
WASHINGTON, MO 63090
Franklin County (636) 239-0735

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 Missouri Occupational Medicine's NPI number?

The NPI number for Missouri Occupational Medicine is 1972369619. It was assigned to this organization in the NPPES registry on February 21, 2024.

Where is Missouri Occupational Medicine located?

Missouri Occupational Medicine is located at 1 W 12th St, Washington, MO 63090. The listed phone number is (636) 239-0735.

What is Missouri Occupational Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Corporate Health, with taxonomy code 261QC1800X.

Does Missouri Occupational Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2119419) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Missouri Occupational Medicine was last updated on February 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.