Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

My Blooming Health Mobile, LLC

Organization Medical Specialty Clinic/Center · NPI 1205272788

My Blooming Health Mobile, LLC is a Medical Specialty Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2040 Woodson Rd # 204A
Saint Louis, MO 63114-5697
Phone: (314) 942-3273
Fax: (314) 584-2205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 1309649 (MO)

Record details

NPI number1205272788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danita Smith — Director · (314) 942-3272
NPI enumeratedMay 10, 2013
Last updated in NPPESNovember 9, 2021
Certification dateOctober 9, 2021
Mailing address2040 Woodson Rd # 204a, Saint Louis, MO 63114-5697

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