Lawrence Clinical Laboratory Chartered

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

LAWRENCE CLINICAL LABORATORY CHARTERED

Practice address

325 Maine St
Lawrence, KS 66044-1360

Phone

(785) 749-6100

NPI assigned

Jan 28, 2006

Organization subpart

No

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

Authorized official

Name

Carol Moddrell, MD

Title

President

Phone

(785) 749-6100

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Albrecht, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Overland Park, KS
  • NPI 1629463393
  Medicare reassignment Care Compare group NPD
• Drew D. Nedved, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1932490265
  Medicare reassignment Care Compare group NPD
• Michael Prochaska, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Salt Lake City, UT
  • NPI 1609249101

  KS

  Medicare reassignment Care Compare group NPD
• Jamie Madl, PA-C

  • Physician Assistant
  • Lawrence, KS
  • NPI 1972903813
  NPD

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417928433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 442157",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660448933",
            "telephone_number": "316-685-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-749-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE CLINICAL LABORATORY CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MODDRELL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-749-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "003981",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS1532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Acupuncture LLC
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• Lawrence Community Chiropractic Inc
• Lawrence Comunity Innkeepers
• Lawrence Dental Studio
• Lawrence Emergency Medicine Associates,PA
• Lawrence Eye Care Associates, P.a.

• Clinical Pathology/Laboratory Medicine Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Pathology/Laboratory Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.