Via Christi Clinic, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VIA CHRISTI CLINIC, PA

Practice address

3243 E Murdock St
3Rd Floor
Wichita, KS 67208-3052

Phone

(316) 689-9820

Fax

(316) 689-9313

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Suzann M Wright

Title

Director,Patient Financial Services

Phone

(316) 689-9617

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• MAT Independent Lab Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1720190184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135",
            "fax_number": "316-689-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST",
            "address_2": "3RD FLOOR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-689-9820",
            "fax_number": "316-689-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CHRISTI CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SUZANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR,PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "316-689-9617"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "690002924",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC8849",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC8848",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080310K",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPK",
            "identifier": "100994",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "113003",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "16963",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CU0056",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAT Independent Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Develyn Vetos
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• Via Christi Clinic, PA
• Via Christi Clinic, PA
• Via Christi Clinic, PA
• Via Christi Emergency Physician Services, LLC
• Via Christi Healthcare Outreach Program for Elders, Inc
• Via Christi Healthcare Outreach Program for the Elderly, Inc.
• Via Christi Home Health Wichita, LLC

• Clinical Medical Laboratory in Wichita, KS
• Providers in Wichita, 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 Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.