Inflammatory Markers Diagnostic Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INFLAMMATORY MARKERS DIAGNOSTIC LABORATORY LLC

Practice address

9412 E Central Ave
Wichita, KS 67206-2540

Phone

(316) 558-5850

Fax

(888) 494-1636

NPI assigned

Apr 7, 2021

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles T Hinshaw, MD

Title

Lab Director

Phone

(316) 558-5850

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• INFLAMMATORY MARKERS LAB Other name
• INFLAMMATORY MARKERS LABORATORY Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1215516000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062540",
            "telephone_number": "316-558-5850",
            "fax_number": "316-558-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062540",
            "telephone_number": "316-558-5850",
            "fax_number": "888-494-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFLAMMATORY MARKERS DIAGNOSTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "HINSHAW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "316-558-5850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF COMPLIANCE",
            "identifier": "17D2145407",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "17D2145407",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@inflammatorymarkerslab.com",
            "affiliation": "N",
            "endpointDescription": "ENCRYPTED EMAIL SOFWARE-PROOFPOINT",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "9412 E Central Ave",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672062540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INFLAMMATORY MARKERS LAB",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "INFLAMMATORY MARKERS LABORATORY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Wichita, KS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.