St Lukes Pathology Associates PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

17D1034613 Issued in KS

Legal business name

ST LUKES PATHOLOGY ASSOCIATES PA

Practice address

12300 Metcalf Ave
Overland Park, KS 66213-1324

Phone

(816) 932-2411

NPI assigned

Feb 3, 2006

Reactivated

Jul 1, 2009

Organization subpart

Yes

Parent organization

AMERIPATH INCAs reported in NPPES

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

Authorized official

Name

Dr. Edward M Kramer

Title

VP

Phone

(610) 550-3000

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1710959754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "816-932-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC",
        "enumeration_date": "2006-02-03",
        "last_updated": "2014-05-02",
        "deactivation_date": "2007-11-26",
        "reactivation_date": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-550-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KS",
            "license": "17D1034613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710959754",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213130G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura R Sprinkle, PHARM.D.
• Connor James Spurgeon, LMSW
• Ann Squire, CRNA
• St Lukes Hospital of Kansas City
• St Lukes Pathology Associates PA
• Tara St. Charles
• Julia St. Clair, ND
• Jerome Joseph Staab
• Elizabeth Stacey, RBT
• Sophia Loraine Stachofsky, LMSW

• Clinical Medical Laboratory in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Medical Laboratory in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.