CIMARRON PATHOLOGY PA (NPI# 1629049648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629049648 |
| Entity Type | Organization |
| Organization Name | CIMARRON PATHOLOGY PA |
| Practice Address |
1436 N Western Ave Liberal KS 67901-2212 |
| Mailing Address |
Po Box 1699 Wichita KS 67201-1699 |
| Practice Telephone | 6206268500 |
| Mailing Telephone | 8004756236 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | HUBERT PETERSON (PRESIDENT) |
| Authorized Official Telephone | 6206268500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100757940A | 05 | |
| RAILROAD MEDICARE | 690009229 | 01 | |
| KS | BCBS | 130243 | 01 |
| KS | 100328010A | 05 |
| Street Address |
1436 N WESTERN AVE |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891766812 | Hubert Peterson | Pathology | 1436 N Western Ave, Liberal, KS 67901-2212 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932292273 | Dr. Sharon Mitchell's Medical Clinic | Clinical Medical Laboratory | 13 Village Plz, Liberal, KS 67901-2762 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354575 | Lifetech Sciences LLC | Clinical Medical Laboratory | 2301 Nw Furman Rd Ste 100, Topeka, KS 66618-2845 | 2020-10-20 |
| 1811510027 | Clinical Reference Laboratory, Inc. | Clinical Medical Laboratory | 1121 W Old Highway 56, Olathe, KS 66061-5256 | 2020-05-21 |
| 1124667951 | Sinochips Kansas LLC | Clinical Medical Laboratory | 2002 W 39th Ave Ste G029, Kansas City, KS 66103-2943 | 2019-12-26 |
| 1346725637 | Excel Clinical Laboratory Service | Clinical Medical Laboratory | 1133 College Ave Ste 145, Manhattan, KS 66502-2770 | 2018-10-02 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1831612670 | 4m Healthcare, LLC | Clinical Medical Laboratory | 15110 Glenwood Ave, Overland Park, KS 66223-3338 | 2017-07-24 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1912386491 | Intelligenedx LLC | Clinical Medical Laboratory | 10900 S Clay Blair Blvd, Ste 1400, Olathe, KS 66061-1301 | 2015-05-29 |
| 1164835823 | Central Medical Laboratory, LLC | Clinical Medical Laboratory | 8960 Commerce Dr, Building 6, De Soto, KS 66018 | 2014-06-10 |
| 1891121943 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 507 16th Street, Suite #1, Wellington, KS 67152-2828 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
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| 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.