Active NPI
Labcorp Kansas, Inc.
- Clinical Medical Laboratory
- Wichita, KS
National Provider Identifier
1093459836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABCORP KANSAS, INC.
- Practice address
- 2916 E Central Ave
Wichita, KS 67214-4717 - Phone
- (316) 265-4533
- NPI assigned
- Apr 27, 2022
- Last updated
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly T Williams
- Title
- Vice President
- Phone
- (336) 436-5402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2916 E Central Ave
Wichita, KS 67214-4717
Mailing address
PO Box 8013
Burlington, NC 27216-8013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17D0985294 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221025000201 | KS | Part B Supplier - Independent Clinical Laboratory | 0042686578 |
6 other NPIs on this enrollment Practice locations: Wichita, KS |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Labcorp Kansas Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Wichita, KS
- NPI 1477296028
-
- Clinical Medical Laboratory
- Wichita, KS
- NPI 1790423440
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Medical Laboratory
- Matthews, NC
- NPI 1972946267
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1093459836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8013",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272168013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 E CENTRAL AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144717",
"telephone_number": "316-265-4533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABCORP KANSAS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-27",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "336-436-5402"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "17D0985294",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.