Active NPI
Heartland Pathology Diagnostics, LLC
- Clinical Medical Laboratory
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HEARTLAND PATHOLOGY DIAGNOSTICS, LLC
- Practice address
- 9300 E 29TH St N
Wichita, KS 67226-2182 - Phone
- (316) 636-5666
- NPI assigned
- Mar 26, 2015
- Last updated
- Apr 29, 2026
- 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
- Hana Razek
- Title
- MD
- Phone
- (316) 685-6091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
9300 E 29TH St N
Wichita, KS 67226-2182
Mailing address
9300 E 29TH St N
Wichita, KS 67226-2182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151124001439 | KS | Part B Supplier - Independent Clinical Laboratory | 3476853409 | Practice locations: Wichita, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D1012766 | Heartland Dermatology and Skin Cancer Center | Compliance | Aug 1, 2026 |
| 17D1027743 | Heartland Pathology, PA | Compliance | Aug 2, 2027 |
| 17D2093824 | Heartland Pathology Diagnostics, LLC | Compliance | Jul 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Wichita, KS
- NPI 1356321582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1225422488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 E 29TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 E 29TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262182",
"telephone_number": "316-636-5666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND PATHOLOGY DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-26",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "RAZEK",
"authorized_official_first_name": "HANA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "316-685-6091"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
- Heartland Interventional Pain and Spine, LLC (Kansas Pain Consultants)
- Heartland Medical Consulting, PA
- Heartland Neuropsychology SVCS, LLC
- Heartland Open MRI LLC
- Heartland Oriental Medicine LLC
- Heartland Pathology PA
- Heartland Plastic Surgery LLC
- Heartland Pulmonary and Sleep Medicine, LLC
- Heartland Research Associates, LLC
- Heartland Surgery, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.