Organization provider

BIOTECH X-RAY, INC.

Physiological Laboratory Medicare enrolled

BIOTECH X-RAY, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1790921088, based in Saint Louis, MO. It is classified under Physiological Laboratory.

Getting there

The practice address on file is 1065 EXECUTIVE PARKWAY DR STE 220, Saint Louis, MO 63141. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1065 EXECUTIVE PARKWAY DR STE 220, Saint Louis, MO 63141 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
000047082 MO Physiological Laboratory primary
216464 IL Physiological Laboratory

Licences are recorded in 2 states: MO, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Independent Diagnostic Testing Facility (idtf)
PAC ID
6901792571

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Illinois O20080506000011 Part B Supplier - Independent Diagnostic Testing Facility (idtf)
Missouri O20080509000192 Part B Supplier - Independent Diagnostic Testing Facility (idtf)

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Independent Diagnostic Testing Facility (idtf). There are 2 separate enrolment records across 2 states (IL, MO). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and Missouri. The practice address on file is in Saint Louis, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
216464
Specialty
Physiological Laboratory
Verify with the IL board →
MO Missouri practice address
Licence
000047082
Specialty
Physiological Laboratory
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physiological Laboratory covers

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. NUCC Health Care Provider Taxonomy, code 293D00000X
Laboratories Physiological Laboratory

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
293D00000X Physiological Laboratory 000047082 MO primary
293D00000X Physiological Laboratory 216464 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1790921088 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 17, 2008
Last updatedAug 12, 2025
StatusActive
Practice address 1065 EXECUTIVE PARKWAY DR STE 220
Saint Louis, MO 63141
(314) 548-2900
Fax (314) 548-2920
Other identifiers 000047082 · Other (MO)
216464 · Other (IL)
This record was updated on Aug 12, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1790921088 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 9 2 1 0 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 9 2 2 0 7

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790921088?
NPI 1790921088 is the National Provider Identifier assigned to BIOTECH X-RAY, INC. in Saint Louis, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physiological Laboratory cover?
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN…
How do I contact BIOTECH X-RAY, INC.?
The phone number on file with NPPES is (314) 548-2900, last updated Aug 12, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does BIOTECH X-RAY, INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790921088 a valid number?
Yes. 1790921088 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.