Organization Active NPI

Heartland Pathology Diagnostics, LLC

  • Clinical Medical Laboratory
  • Wichita, KS
National Provider Identifier
1225422488
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Hana RazekNPI 1356321582
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20151124001439 KS Part B Supplier - Independent Clinical Laboratory 3476853409 Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1012766Heartland Dermatology and Skin Cancer Center9300 E 29TH Street N, Wichita, KS 67226ComplianceAug 1, 2026
17D1027743Heartland Pathology, PA9300 East 29TH St North, Suite 208, Wichita, KS 67226ComplianceAug 2, 2027
17D2093824Heartland Pathology Diagnostics, LLC9300 E 29TH St N Suite 209, Wichita, KS 67226ComplianceJul 9, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.