PHYSICIANS REFERENCE LABORATORY LLC (NPI# 1013922830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013922830 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS REFERENCE LABORATORY LLC |
| Practice Address |
20333 W 151st St Olathe KS 66061-5350 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 | ||
| N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZN0500X |
Pathology Specialization: Neuropathology |
Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| 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 |
20333 W 151ST ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274184 | Howard Martin Cloogman | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2005-06-13 |
| 1710508403 | Maureen Mae Graham | Dietitian, Registered | 20333 W 151st St, Olathe, KS 66061-7211 | 2020-05-04 |
| 1396379178 | Ashley Rose Beaner | Dietitian, Registered | 20333 W 151st St, Olathe, KS 66061-5350 | 2020-03-02 |
| 1174157432 | Ryan Andrew Ellison | Dietitian, Registered | 20333 W 151st St, Olathe, KS 66061-5350 | 2020-02-26 |
| 1659905974 | Shellie Anne Brandt | Nurse Practitioner | 20333 W 151st St, Olathe, KS 66061-5350 | 2020-02-25 |
| 1588229256 | Angela Ellis | Nurse Anesthetist, Certified Registered | 20333 W 151st St, Olathe, KS 66061-5350 | 2019-05-07 |
| 1144703042 | Courtney Tafreshi | Physician Assistant | 20333 W 151st St, Olathe, KS 66061-5350 | 2018-09-07 |
| 1326548710 | Olathe Health Physicians, Inc. | Psychiatry & Neurology | 20333 W 151st St, Olathe, KS 66061-5350 | 2018-02-13 |
| 1699208447 | Joshua Abernathy | Emergency Medicine | 20333 W 151st St, Olathe, KS 66061-5350 | 2017-04-08 |
| 1699226118 | Gina Lynn Navia-brozenic | Nurse Practitioner | 20333 W 151st St, Olathe, KS 66061-5350 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| 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 |
|---|---|---|---|---|
| 1831694900 | Anna Louise Heimes Dillon | Pathology | 3901 Rainbow Boulvard, Kansas City, KS 66160-0001 | 2018-03-29 |
| 1598105165 | Fredrick Andrew Tweet | Pathology | 876 Highway K 171, Pittsburg, KS 66762-8748 | 2013-06-27 |
| 1053682559 | William Neil Leifer | Pathology | 9500 Sw Jordan Rd, Wakarusa, KS 66546-9324 | 2012-01-16 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1750675096 | Stephanie Marie Wood | Pathology | 3901 Rainbow Blvd Dept Of, Kansas City, KS 66160-3011 | 2011-06-03 |
| 1801187125 | Hana Albrecht | Pathology | 1500 Sw Tenth Avenue, Topeka Pathology Group, LLC, Topeka, KS 66604 | 2011-04-20 |
| 1982892212 | Marion Francis Biondo | Pathology | 11717 Brookwood Ave, Leawood, KS 66211-2903 | 2007-10-11 |
| 1609908821 | Basem B. Ahmed | Pathology | University of Kansas Medical Ctr 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1083746283 | Maura Frances O'neil | Pathology | University of Kansas Medical Center 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1629121686 | Joel W Alderson | Pathology | 959 N St Francis, Wichita, KS 67214-3821 | 2007-01-20 |
| 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.