PHYSICIANS REFERENCE LABORATORY LLC (NPI# 1003822560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003822560 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS REFERENCE LABORATORY LLC |
| Practice 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 | 2006-08-01 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | MR. GREGORY J KEITGES (COO) |
| Authorized Official Telephone | 9133384070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZN0500X |
Pathology Specialization: Neuropathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RAILROAD MEDICARE | DD4483 | 01 |
| 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 |
| Street Address |
7800 W 110TH ST STE 200 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884026 | John R Dobson | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2006-01-09 |
| 1215312863 | Kc Pathology Pa | Clinical Medical Laboratory | 7800 W 110th St, Overland Park, KS 66210-2304 | 2015-07-24 |
| 1285014282 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 7800 W 110th St, Overland Park, KS 66210-2304 | 2015-06-04 |
| 1679724439 | Ambreen Nasir Khan | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2008-10-09 |
| 1265653315 | Joanne Mayor Quilon | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2007-05-02 |
| 1518183391 | Christian Psychological Services | Psychologist | 7800 W 110th St, Suite 112, Overland Park, KS 66210-2304 | 2007-04-18 |
| 1194853549 | Christian Psychological Services | Psychologist | 7800 W 110th St, Suite 112, Overland Park, KS 66210-2304 | 2007-02-28 |
| 1972654614 | Pierre W Keitges Md PC | Clinical Medical Laboratory | 7800 W 110th St, Suite 200, Overland Park, KS 66210-2304 | 2007-01-16 |
| 1457459372 | Melanie Libra Davis | Psychologist | 7800 W 110th St, Suite 112, Overland Park, KS 66210-2304 | 2006-09-21 |
| 1225042690 | Elizabeth Joan Friedman | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871660530 | Karen Y. Plumb | Pathology | 9601 W 144th St, Overland Park, KS 66221-7559 | 2006-11-29 |
| 1891713038 | Spencer W Kerley | Pathology | 7800 West 110th Street, Overland Park, KS 66210-2306 | 2006-07-17 |
| 1942289673 | Frederick Stanley Wreford IIi | Pathology | 7301 College Blvd Ste 110, Overland Park, KS 66210 | 2006-01-11 |
| 1902884026 | John R Dobson | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2006-01-09 |
| 1730409673 | Liping Song | Pathology | 7301 College Blvd, Suite 110, Overland Park, KS 66210-1937 | 2010-06-02 |
| 1740416023 | Jason Michael Rarick | Pathology | 7301 College Blvd, Suite 110, Overland Park, KS 66210-1937 | 2009-06-01 |
| 1578705943 | Luis F Torres-romero | Pathology | 7301 College Blvd, Suite 110, Overland Park, KS 66210-1937 | 2009-04-01 |
| 1679724439 | Ambreen Nasir Khan | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2008-10-09 |
| 1265653315 | Joanne Mayor Quilon | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2007-05-02 |
| 1285797571 | St Lukes Pathology Associates Pa | Pathology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2006-12-18 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.