Clinical Reference Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

17D0667123 Issued in KS

Legal business name

CLINICAL REFERENCE LABORATORY, INC.

Practice address

8433 Quivira Rd
Lenexa, KS 66215-2802

Phone

(913) 492-3652

Fax

(913) 693-1597

NPI assigned

May 18, 2010

Last updated

May 18, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CLINICAL REFERENCE LABORATORY, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tim Sotos

Title

Chairman of the Board/Ceo

Phone

(913) 492-3652

Specialties & licenses 1

Addresses

Other names 1

• Insurance Lab Services Other name

Part of

Clinic Reference Lab Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Clinical Reference Laboratory, Inc.

  dba CRL Global Services

  • Clinical Medical Laboratory
  • Lenexa, KS
  • NPI 1295057370
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1083933964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152802",
            "telephone_number": "913-492-3652",
            "fax_number": "913-693-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152802",
            "telephone_number": "913-492-3652",
            "fax_number": "913-693-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL REFERENCE LABORATORY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICAL REFERENCE LABORATORY, INC.",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "SOTOS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD/CEO",
        "authorized_official_telephone_number": "913-492-3652"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KS",
            "license": "17D0667123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insurance Lab Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tony Dale Clark
• Rebecca Clary, DNP
• Kyesis Mone' Cleaver, FNP
• Scott Cleland, PHARMD
• Clinical Associates PA
• Clinical Reference Laboratory, Inc. (CRL Global Services)
• Clinical Reference Laboratory, Inc.
• Clinical Reference Laboratory, Inc.
• Clinical Resources Inc
• Bailey Susanmarie Clopton

• Clinical Medical Laboratory in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Clinical Medical Laboratory in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.