PHYSICIANS REFERENCE LABORATORY LLC


Address: 930 Carondelet Dr, Bldg C Ste 201, Kansas City, MO 64114-4855
Phone: 9133384070

PHYSICIANS REFERENCE LABORATORY LLC (NPI# 1659778264) 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) 1659778264
Entity Type Organization
Organization Name PHYSICIANS REFERENCE LABORATORY LLC
Practice Address 930 Carondelet Dr
Bldg C Ste 201
Kansas City
MO 64114-4855
Mailing Address 7800 W 110th St
Overland Park
KS 66210-2304
Practice Telephone 9133384070
Practice Fax Number 9133384245
Mailing Telephone 9133384070
Mailing Fax Number 9133384245
Enumeration Date 2014-11-25
Last Update Date 2014-11-25
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
Y 291U00000X Clinical Medical Laboratory Laboratories

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
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
1285753434 Physicians Reference Laboratory LLC Clinical Medical Laboratory 3840 W 75th St, Prairie Village, KS 66208-4126 2007-03-28

Office Location

Street Address 930 CARONDELET DR
BLDG C STE 201
City KANSAS CITY
State MO
Zip Code 64114-4855

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556512 Paula Louise Eaton Obstetrics & Gynecology 930 Carondelet Dr, Ste 304, Kansas City, MO 64114-4698 2005-05-23
1588197982 Alicia M Shuker Nurse Practitioner 930 Carondelet Dr, Ste 201, Kansas City, MO 64114 2017-04-04
1669849956 Omer Leroy Nurse Practitioner 930 Carondelet Dr, Ste 201, Kansas City, MO 64114 2015-08-21
1306220447 Laboratory Corporation of America Holdings Clinical Medical Laboratory 930 Carondelet Dr, Kansas City, MO 64114-4855 2015-07-18
1982018719 Carondelet Physician Services, Inc Family Medicine 930 Carondelet Dr, Suite 304, Kansas City, MO 64114-4855 2014-06-19
1881934768 Lab One LLC Clinical Medical Laboratory 930 Carondelet Dr, Suite 200, Kansas City, MO 64114-4855 2013-02-28
1376717181 Kay Hamilton Nurse Practitioner 930 Carondelet Dr, Suite 302, Kansas City, MO 64114-4855 2008-04-14
1497933626 Norman I Bamber Neurological Surgery 930 Carondelet Dr, Suite 300, Kansas City, MO 64114-4855 2008-02-11
1942320767 Mohsin Quinn Soliman Surgery 930 Carondelet Dr, Suite 104, Kansas City, MO 64114-4855 2007-03-29
1801932355 Overland Pediatrics and Infectious Disease Care LLC Pediatrics 930 Carondelet Dr, Suite 303, Kansas City, MO 64114-4855 2007-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164055968 Nova Home Infusion, LLC Home Infusion 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 2020-02-20
1770011017 Rene Thomsen Counselor 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 2017-05-31
1114452075 Accent Home Health Care LLC In Home Supportive Care 7817 Wornall Rd, Kansas City, MO 64114 2017-04-27
1174982599 Mei Dodson Contractor 8901 Washington St, Kansas City, MO 64114 2016-02-12
1851784805 Sarah Jeannette Gulledge Registered Nurse 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 2015-03-16
1376936591 Corey Bess Podiatrist 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 2015-03-12
1013339753 Kati Mayer Physical Therapist 10008 Walnut Dr., #202, Kansas City, MO 64114 2014-01-15
1619270311 Gavett Burch Marriage & Family Therapist 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 2010-12-18
1679873046 Ken Kidd Inc Dba Miracle-ear Hearing Instrument Specialist 1148 W. 103rd St, Kansas City, MO 64114 2010-11-01
1316264161 Elizabeth Vasquez Physician Assistant 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 2010-05-03
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740801893 Kbn Diagnostics, LLC Clinical Medical Laboratory 11612 Oak St, Kansas City, MO 64114-5623 2020-04-29
1124667951 Sinochips Kansas LLC Clinical Medical Laboratory 2002 W 39th Ave Ste G029, Kansas City, KS 66103-2943 2019-12-26
1821580374 Heartland Toxicology, LLC Clinical Medical Laboratory 13340 Holmes Rd, Kansas City, MO 64145-1437 2018-05-31
1851729073 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 1004 Carondelet Drive, Suite 315, Kansas City, MO 64114-4862 2013-10-25
1215071501 Lab One Inc Clinical Medical Laboratory 5400 North Oak, Suite 105, Kansas City, MO 64118-4688 2007-02-19
1184780199 Amber Watt Clinical Medical Laboratory 4050 Broadway St, Suite 220, Kansas City, MO 64111-2615 2006-12-28
1366463184 Spectrum Sleep Diagnostics Inc Clinical Medical Laboratory 1150 W. 75th Street, Suite 100, Kansas City, KS 66102 2006-07-21
1336124064 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1000 E 101st Ter, Kansas City, MO 64131-3366 2005-12-15
1760010128 Laboratory Corporation of America Holdings Clinical Medical Laboratory 21 N 12th St Ste 400, Kansas City, KS 66102-5172 2020-03-31
1194180158 Laboratory Corporation of America Holdings Clinical Medical Laboratory 4400 Broadway, Suite 302, Kansas City, MO 64111-3498 2015-12-17
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City KANSAS CITY
Zip Code 64114

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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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