ST LUKES PATHOLOGY ASSOCIATES PA (NPI# 1710959754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710959754 |
| Entity Type | Organization |
| Organization Name | ST LUKES PATHOLOGY ASSOCIATES PA |
| Practice Address |
12300 Metcalf Ave Overland Park KS 66213-1324 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 8169322411 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2014-05-02 |
| NPI Deactivation Date | 11/26/2007 |
| NPI Reactivation Date | 2009-07-01 |
| Authorized Official Name | DR. EDWARD M KRAMER (VP) |
| Authorized Official Telephone | 6105503000 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIPATH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 17D1034613 | KS | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1710959754 | 05 | |
| KS | 100213130G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285797571 | St Lukes Pathology Associates Pa | Pathology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2006-12-18 |
| 1578535514 | St Lukes Pathology Associates Pa | Pathology | 4401 Wornall Rd, Floor B, Kansas City, MO 64111-3220 | 2006-02-03 |
| 1891767844 | St Lukes Pathology Associates Pa | Clinical Medical Laboratory | 10101 Renner Blvd, Suite A, Lenexa, KS 66219-9752 | 2006-02-03 |
| Street Address |
12300 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231158 | Charles L Gerwick | Emergency Medicine | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2005-08-02 |
| 1548861537 | Erin Elizabeth Gillitzer | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-11-05 |
| 1245830496 | Alexandrea Ann Young | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-10-27 |
| 1952933822 | Samantha Boice | Physician Assistant | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-02-10 |
| 1659902880 | Barbara Diann Kelly | Nurse Practitioner | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-27 |
| 1023657574 | Elhonei K Alemu | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-02 |
| 1447800131 | Advanced Radiology Consultants of Kansas City, Pa | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-09-16 |
| 1336601335 | Saint Luke's South Hospital Inc. | Hospitalist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-04-01 |
| 1871009068 | Sharlene Marie Clary | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-12-25 |
| 1295253458 | Megan Kathleen Hartman | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| 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 |
|---|---|---|---|---|
| 1831612670 | 4m Healthcare, LLC | Clinical Medical Laboratory | 15110 Glenwood Ave, Overland Park, KS 66223-3338 | 2017-07-24 |
| 1861721664 | Labone LLC | Clinical Medical Laboratory | 8631 W 150th St Ste 101a, Overland Park, KS 66223-2294 | 2009-12-08 |
| 1447498043 | Medexpress Labs | Clinical Medical Laboratory | 7248 W 121st St, Overland Park, KS 66213-1201 | 2009-02-04 |
| 1396955662 | Analytical Bioservices, Inc. | Clinical Medical Laboratory | 4905 Antioch Rd, Overland Park, KS 66203-1312 | 2007-05-23 |
| 1558385161 | Spears Pathology Lab | Clinical Medical Laboratory | 12329 Bradshaw St, Spears Pathology Lab, Overland Park, KS 66213-4934 | 2006-07-27 |
| 1710960901 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 12200 W 110th St, Overland Park, KS 66210-4045 | 2005-11-22 |
| 1215312863 | Kc Pathology Pa | Clinical Medical Laboratory | 7800 W 110th St, Overland Park, KS 66210-2304 | 2015-07-24 |
| 1487038071 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 8800 Ballentine St, Overland Park, KS 66214-1900 | 2015-07-14 |
| 1265816755 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10730 Nall Ave, Suite 100, Overland Park, KS 66211-1366 | 2015-07-14 |
| 1285014282 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 7800 W 110th St, Overland Park, KS 66210-2304 | 2015-06-04 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
Please comment or provide details below to improve the information on ST LUKES PATHOLOGY ASSOCIATES PA.
| 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.