Organization Active NPI

Kansas Covid Response LLC

  • Clinical Medical Laboratory
  • Wichita, KS
National Provider Identifier
1174274567
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KANSAS COVID RESPONSE LLC
Practice address
8335 E Kellogg Dr
Wichita, KS 67207-1839
Phone
(316) 771-7315
Fax
(316) 771-7319
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Christine Bacci
Title
Administrator
Phone
(316) 771-7315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8335 E Kellogg Dr
Wichita, KS 67207-1839

Mailing address

8335 E Kellogg Dr
Wichita, KS 67207-1839
Phone (316) 771-7315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1174274567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071839",
            "telephone_number": "316-771-7315",
            "fax_number": "316-771-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071839",
            "telephone_number": "316-771-7315",
            "fax_number": "316-771-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS COVID RESPONSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "BACCI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-771-7315"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 17, 2022; 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.