Central Medical Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

17D1089651 Issued in KS

Legal business name

CENTRAL MEDICAL LABORATORY, LLC

Practice address

8960 Commerce Dr
Building 6
De Soto, KS 66018

Phone

(804) 343-2718

NPI assigned

Jun 10, 2014

Last updated

Apr 20, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTH DIAGNOSTIC 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

Joseph McConnell

Title

President & Ceo

Phone

(804) 343-2718

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Health Diagnostic Laboratory Incorporated

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1164835823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 COMMERCE DR",
            "address_2": "BUILDING 6",
            "city": "DE SOTO",
            "state": "KS",
            "postal_code": "66018",
            "telephone_number": "804-343-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 COMMERCE DR",
            "address_2": "BUILDING 6",
            "city": "DE SOTO",
            "state": "KS",
            "postal_code": "66018",
            "telephone_number": "804-343-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL LABORATORY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH DIAGNOSTIC LABORATORY, INC.",
        "enumeration_date": "2014-06-10",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "804-343-2718"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KS",
            "license": "17D1089651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in De Soto, KS
• Providers in De Soto, 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 Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.