PHYSICIANS REFERENCE LABORATORY LLC (NPI# 1790027837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790027837 |
Entity Type | Organization |
Organization Name | PHYSICIANS REFERENCE LABORATORY LLC |
Practice Address |
203 Nw R D Mize Rd Ste 218 Blue Springs MO 64014-2510 |
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 | 2013-03-26 |
Last Update Date | 2013-03-26 |
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 | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
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 | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians | ||
N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
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 |
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 |
Street Address |
203 NW R D MIZE RD STE 218 |
City | BLUE SPRINGS |
State | MO |
Zip Code | 64014-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346249604 | St. Mary's Surgical Center LLC | Clinic/Center | 203 Nw R D Mize Rd, Ste 218, Blue Springs, MO 64014-2510 | 2005-07-19 |
1689113540 | Lacey Hillerman Case | Nurse Practitioner | 203 Nw R D Mize Rd, Suite 200, Blue Springs, MO 64014-2510 | 2017-02-13 |
1093735557 | Michael Joseph Liston | Internal Medicine | 203 Nw R D Mize Rd, Suite 200, Blue Springs, MO 64014-2510 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
Find all providers in zip 64014 |
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 |
---|---|---|---|---|
1568493161 | Gordon Andrew Bell | Pathology | 201 Nw Rr Mize Rd, Blue Springs, MO 64014-2518 | 2006-07-05 |
1528190758 | Katie Lynn Dennis | Pathology | 700 Nw Hunter Dr, Blue Springs, MO 64015-7730 | 2007-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700430121 | Garland Michael Upchurch | Pathology | Washington University Som Department of Pathology, 660 S Euclid Avenue, Cb 8118, St. Louis, MO 63110-1010 | 2019-07-25 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1346732781 | Christopher Ryan Cunningham | Pathology | 1 Hospital Dr Dept Of, Columbia, MO 65212-1000 | 2018-06-01 |
1730679986 | Tao Zhang | Pathology | 1 Hospital Dr Bldg, Columbia, MO 65212-1000 | 2018-05-14 |
1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
1407302730 | Huifang Zhou | Pathology | 4901 Forest Park Avenue, St Louis, MO 63108-1402 | 2016-08-28 |
1609247543 | Muhammad Atif Atlaf Salyana | Pathology | 3635 Vista Ave Fl 4, Saint Louis University Hospital- Pathology Residency, Saint Louis, MO 63110-2539 | 2015-10-19 |
1194193326 | Mid-america Pathology Consultants, LLC | Pathology | 12898 Thornhill Ct, Saint Louis, MO 63131-1883 | 2015-09-03 |
1437539756 | Juan Kang | Pathology | 12939 Banyan Town Dr., St. Louis, MO 63146 | 2015-06-02 |
1891173159 | Dauod Arif | Pathology | 2301 Holmes Street, Department of Pathology, Truman Medical Center - Hospital Hill (hh), Kansas City, MO 64108 | 2015-05-07 |
Find all providers with the same taxonomy |
City | BLUE SPRINGS |
Zip Code | 64014 |
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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.