NPI 1063758191
Physicians Reference Laboratory LLC
Practice location
- Address
- 10730 Nall Ave STE 100, Overland Park, KS 66211-1366
- Phone
- (913) 338-4070
- Fax
- (913) 338-4245
- Mailing address
- 7800 W 110th St, Overland Park, KS 66210-2304
Authorised official
- Name
- Gregory J Keitges
- Title
- Coo
- Phone
- (913) 338-4070
Registered specialties (7)
Anatomic Pathology & Clinical Pathology Physician
Primary
Clinical Pathology Physician
Cytopathology Physician
Dermatopathology (Pathology) Physician
Molecular Genetic Pathology (Pathology) Physician
Anatomic Pathology Physician
Clinical Pathology/Laboratory Medicine Physician
Registry record
- NPI
- 1063758191
- Entity type
- Organization
- NPI issued
- 18 Dec 2012
- Record last updated
- 18 Dec 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.