Mid America Pathology Laboratory Llc in Overland Park - Clinical Medical Laboratory

Mid America Pathology Laboratory Llc - NPI 1215990148

Mid America Pathology Laboratory Llc is a Clinical Medical Laboratory in Overland Park, Kansas. Mid America Pathology Laboratory Llc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Mid America Pathology Laboratory Llc is 1215990148. The last update date is 2012-10-26.

Mid America Pathology Laboratory Llc's current location address is 7301 College Blvd, Overland Park, Kansas. You can contact this provider via phone number 9133416297 and fax number 9133416299. The mailing address for Mid America Pathology Laboratory Llc is 7301 College Blvd, Overland Park, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mid America Pathology Laboratory Llc
Address 7301 College Blvd, Overland Park, Kansas
Phone Number 9133416297
Fax Number 9133416299
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Benson Lee Russell
Credentials M.D.
Telephone Number 9133416297

NPI Number Detail

NPI Number 1215990148
Provider Enumeration Date 2006-04-11
Last Updated Date 2012-10-26

Provider Mailing Address Detail

Address 7301 College Blvd
City Overland Park
State Kansas (KS)
Post Code 662101937
Phone Number 9133416297
Fax Number 9133416299

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Definition:
(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 purp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100364660A KS --
704970607 MO --
33818014 MO KANSAS CITY BCBS
405042 KS BCBS

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FAQs about Mid America Pathology Laboratory Llc

What is the Mid America Pathology Laboratory Llc's unique identification number?

The Mid America Pathology Laboratory Llc has been assigned the NPI (National Provider Identifier) Number 1215990148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Mid America Pathology Laboratory Llc's physical address?

The Mid America Pathology Laboratory Llc is physically located at 7301 College Blvd, in the city of Overland Park, KS, with the postal code 662101937.

What is Mid America Pathology Laboratory Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mid America Pathology Laboratory Llc's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.

On what date did the Mid America Pathology Laboratory Llc receive the assignment of its 1215990148 from the Centers for Medicare & Medicaid Services?

The Mid America Pathology Laboratory Llc was issued its 1215990148 by the Centers for Medicare & Medicaid Services on 2006-04-11.

When was the information related to Mid America Pathology Laboratory Llc most recently updated or refreshed?

The details pertaining to the Mid America Pathology Laboratory Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-26.

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