PHYSICIANS REFERENCE LABORATORY LLC


Address: 201 W R D Mize Rd, Blue Springs, MO 64015-2518
Phone: 9133384070

PHYSICIANS REFERENCE LABORATORY LLC (NPI# 1326053133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326053133
Entity Type Organization
Organization Name PHYSICIANS REFERENCE LABORATORY LLC
Practice Address 201 W R D Mize Rd
Blue Springs
MO 64015-2518
Mailing Address 7800 W 110th St
Ste 200
Overland Park
KS 66210-2304
Practice Telephone 9133384070
Practice Fax Number 9133384245
Mailing Telephone 9133384070
Mailing Fax Number 9133384245
Enumeration Date 2006-07-30
Last Update Date 2012-07-31
Authorized Official Name MR. GREGORY J KEITGES (COO)
Authorized Official Telephone 9133384070
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZP0007X Pathology
Specialization: Molecular Genetic Pathology
Allopathic & Osteopathic Physicians
N 207ZN0500X Pathology
Specialization: Neuropathology
Allopathic & Osteopathic Physicians
N 291U00000X Clinical Medical Laboratory Laboratories
N 207ZP0101X Pathology
Specialization: Anatomic Pathology
Allopathic & Osteopathic Physicians
N 207ZB0001X Pathology
Specialization: Blood Banking & Transfusion Medicine
Allopathic & Osteopathic Physicians
N 207ZC0500X Pathology
Specialization: Cytopathology
Allopathic & Osteopathic Physicians
N 207ZD0900X Pathology
Specialization: Dermatopathology
Allopathic & Osteopathic Physicians
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RAILROAD MEDICARE DD5377 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689005886 Physicians Reference Laboratory LLC Clinical Medical Laboratory 995 Sw 34th St, Lees Summit, MO 64082-4093 2013-12-12
1770809816 Physicians Reference Laboratory LLC Clinical Medical Laboratory 1600 Nw Outer Rd, Blue Springs, MO 64014 2010-04-14
1124350616 Physicians Reference Laboratory LLC Clinical Medical Laboratory 1425 Nw Blue Valley Pkwy, Lees Summit, MO 64086-5705 2010-02-08
1659778264 Physicians Reference Laboratory LLC Clinical Medical Laboratory 930 Carondelet Dr, Bldg C Ste 201, Kansas City, MO 64114-4855 2014-11-25
1790027837 Physicians Reference Laboratory LLC Pathology 203 Nw R D Mize Rd, Ste 218, Blue Springs, MO 64014-2510 2013-03-26
1851637904 Physicians Reference Laboratory LLC Pathology 8800 Ballentine St, Overland Park, KS 66214-1900 2012-12-18
1063758191 Physicians Reference Laboratory LLC Pathology 10730 Nall Ave, Ste 100, Overland Park, KS 66211-1366 2012-12-18
1376818484 Physicians Reference Laboratory LLC Pathology 2800 E Rock Haven Rd, Harrisonville, MO 64701-4411 2012-03-22
1548565922 Physicians Reference Laboratory LLC Clinical Medical Laboratory 10600 Quivira Rd, Overland Park, KS 66215-2309 2011-01-17
1619118007 Physicians Reference Laboratory LLC Pathology 5325 Faraon St, Saint Joseph, MO 64506-3488 2009-03-13

Office Location

Street Address 201 W R D MIZE RD
City BLUE SPRINGS
State MO
Zip Code 64015-2518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346241593 Medical Emergency Associates L.L.C. Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-09
1326126657 Jonghyuck Peter Lee Pharmacist 201 W R D Mize Rd, Blue Springs, MO 64014 2006-11-02
1235121914 William D Galvin Jr. Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-18
1255323101 Steven A Lorber Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-17
1104818053 Daniel K Bixler Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-17
1982696928 Robert M Johnston Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-16
1700878907 Jay R Pemberton Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-16
1720070923 Ameet Deshmukh Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-16
1003818592 Robert L Henley Jr. Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-15
1508868159 Jeffrey P Girkin Emergency Medicine 201 W R D Mize Rd, Blue Springs, MO 64014-2518 2005-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609492719 Ignite Medical Resort Independence LLC Skilled Nursing Facility 20511 E. Trinity Pl., Blue Springs, MO 64015 2020-06-24
1881004851 Serina Sitchler Occupational Therapy Assistant 3980 Jackson Dr, Independence, MO 64015 2014-04-30
1700207099 Usa Rental & Sales, Inc Contractor 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 2014-01-03
1629416540 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 2013-06-13
1356689376 Carl H. Dahlquist D.d.s.,llc Dentist 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 2013-01-25
1043560493 Timothy A. Cox Specialist/Technologist, Other 808 Nw Maynard Street, Blue Springs, MO 64015 2012-09-13
1578847547 Shannon J Hattey Pharmacist 1701 Nw 7 Hwy, Blue Springs, MO 64015 2011-10-07
1497937676 Michael Ray Pardun Chiropractor 3650 W Hwy 40, Blue Springs, MO 64015 2007-11-29
1437374337 Clinton Earl Thomas Counselor 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 2007-04-16
1235251562 Leigh Gilburn Family Medicine 5435 Sw Us Highway 40, Blue Springs, MO 64015 2007-04-06
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568493161 Gordon Andrew Bell Pathology 201 Nw Rr Mize Rd, Blue Springs, MO 64014-2518 2006-07-05
1528190758 Katie Lynn Dennis Pathology 700 Nw Hunter Dr, Blue Springs, MO 64015-7730 2007-03-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700430121 Garland Michael Upchurch Pathology Washington University Som Department of Pathology, 660 S Euclid Avenue, Cb 8118, St. Louis, MO 63110-1010 2019-07-25
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1346732781 Christopher Ryan Cunningham Pathology 1 Hospital Dr Dept Of, Columbia, MO 65212-1000 2018-06-01
1730679986 Tao Zhang Pathology 1 Hospital Dr Bldg, Columbia, MO 65212-1000 2018-05-14
1871090258 Hina Omer Khokhar Pathology 4601 Apt F West Millbrook Dr, Columbia, MO 65203 2018-04-11
1407302730 Huifang Zhou Pathology 4901 Forest Park Avenue, St Louis, MO 63108-1402 2016-08-28
1609247543 Muhammad Atif Atlaf Salyana Pathology 3635 Vista Ave Fl 4, Saint Louis University Hospital- Pathology Residency, Saint Louis, MO 63110-2539 2015-10-19
1194193326 Mid-america Pathology Consultants, LLC Pathology 12898 Thornhill Ct, Saint Louis, MO 63131-1883 2015-09-03
1437539756 Juan Kang Pathology 12939 Banyan Town Dr., St. Louis, MO 63146 2015-06-02
1891173159 Dauod Arif Pathology 2301 Holmes Street, Department of Pathology, Truman Medical Center - Hospital Hill (hh), Kansas City, MO 64108 2015-05-07
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Competitor

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City BLUE SPRINGS
Zip Code 64015

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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