PHYSICIANS REFERENCE LABORATORY LLC


Address: 203 Nw R D Mize Rd, Ste 218, Blue Springs, MO 64014-2510
Phone: 9133384070

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 203 NW R D MIZE RD
STE 218
City BLUE SPRINGS
State MO
Zip Code 64014-2510

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BLUE SPRINGS
Zip Code 64014

Improve Information

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Dataset Information

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.

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