MICHELLE ALTRICH (NPI# 1922649326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922649326 |
| Entity Type | Individual |
| Full Name | MICHELLE ALTRICH |
| Credential | PHD HCLD (ABB) |
| Practice Address |
1001 Nw Technology Dr Lees Summit MO 64086-5603 |
| Practice Telephone | 8003055198 |
| Practice Fax Number | 8163470143 |
| Mailing Telephone | 8003055198 |
| Mailing Fax Number | 8163470143 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1001 NW TECHNOLOGY DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427386796 | Eurofins Viracor, Inc. | Clinical Medical Laboratory | 1001 Nw Technology Dr, Lees Summit, MO 64086 | 2009-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528451341 | Dun Liang | Pathology | 1005 N Warson Rd Ste 403a, Saint Louis, MO 63132-2900 | 2015-03-18 |
| 1376714410 | Veronica Ines Luzzi | Pathology | 4940 Parkview Pl, Wohl Clinic - Room 6602, Saint Louis, MO 63110-1025 | 2008-03-17 |
| 1881009041 | Thomas Lammert | Pathology | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2014-06-26 |
| 1760743736 | Mitchell George Scott | Pathology | 660 S. Euclid Ave., Division of Laboratory Medicine Box 8118, Saint Louis, MO 63110 | 2012-06-06 |
| 1962602672 | Kathy Lynn Timms | Pathology | 500 N Keene St, Suite 200, Columbia, MO 65201-8104 | 2007-07-20 |
| 1669679254 | Erma Zimmerman Drobnis | Pathology | 500 N Keene St, Suite 203 - Reproductive Medicine & Fertility, Columbia, MO 65201-8104 | 2007-06-28 |
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on MICHELLE ALTRICH.
| 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.