NPIMap

Organization Active NPI

Irl Pathology Services Midamerica, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Kansas City, MO
National Provider Identifier
1497271480
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
IRL PATHOLOGY SERVICES MIDAMERICA, LLC
Practice address
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone
(816) 276-4593
Fax
(816) 276-4606
NPI assigned
Aug 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Daniel Sykes
Title
Division Vice President
Phone
(816) 508-4039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

2316 E Meyer Blvd
Kansas City, MO 64132-1136

Mailing address

PO Box 744327
Atlanta, GA 30374-4327
Phone (954) 507-6780

Other practice location 1

5721 W 119th St
Overland Park, KS 66209-3722
Phone (954) 717-0275

Other practice location 2

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (954) 717-0275

Other practice location 3

19600 E 39th St S
Independence, MO 64057-2301
Phone (954) 717-0275

Other practice location 4

2100 SE Blue Pkwy
Lees Summit, MO 64063-1007
Phone (954) 717-0275

Other practice location 5

1500 State St
Lexington, MO 64067-1107
Phone (954) 717-0275

Other practice location 6

17065 South 71 Highway
Belton, MO 64012-4631
Phone (816) 348-1236

Other practice location 7

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (954) 717-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171227000621 KS Part B Supplier - Clinic/Group Practice 0840558664 Receives reassigned benefits from 15 practitioners
Practice locations: Overland Park, KS; Lenexa, KS
O20180129000230 MO Part B Supplier - Clinic/Group Practice 0840558664 Receives reassigned benefits from 15 practitioners
Practice locations: Kansas City, MO; Lexington, MO; Lees Summit, MO; Independence, MO; Belton, MO

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1497271480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744327",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744327",
            "telephone_number": "954-507-6780",
            "fax_number": "866-262-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 E MEYER BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321136",
            "telephone_number": "816-276-4593",
            "fax_number": "816-276-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152306",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19600 E 39th St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640572301",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 SE Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631007",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 State St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MO",
            "postal_code": "640671107",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17065 South 71 Highway",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "MO",
            "postal_code": "640124631",
            "country_code": "US",
            "telephone_number": "816-348-1236",
            "fax_number": "816-348-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 E Meyer Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321136",
            "country_code": "US",
            "telephone_number": "954-717-0275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRL PATHOLOGY SERVICES MIDAMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIVISION VICE PRESIDENT",
        "authorized_official_telephone_number": "816-508-4039"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.