Organization Active NPI

Clinical Laboratory Solutions, LLC (Dba Prevential)

  • Clinical Medical Laboratory
  • Independence, MO
National Provider Identifier
1366318859
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CLINICAL LABORATORY SOLUTIONS, LLC (DBA PREVENTIAL)
Practice address
4801 S Cliff Ave Ste 212
Suite 212
Independence, MO 64055-6954
Phone
(816) 366-7774
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Cristian Saez, PHD
Title
Chief Scientific Officer
Phone
(816) 366-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4801 S Cliff Ave Ste 212
Suite 212
Independence, MO 64055-6954

Mailing address

4801 S Cliff Ave Ste 212
Independence, MO 64055-6954
Phone (816) 366-7774

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
26D2295963Clinical Laboratory Solutions, LLC Dba Prevential4801 South Cliff Avenue, Ste 212, Independence, MO 64055AccreditationJun 25, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1366318859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 212",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556954",
            "telephone_number": "816-366-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 212",
            "address_2": "SUITE 212",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556954",
            "telephone_number": "816-366-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORY SOLUTIONS, LLC (DBA PREVENTIAL)",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "SAEZ",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "CHIEF SCIENTIFIC OFFICER",
        "authorized_official_telephone_number": "816-366-7774",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.