KBN Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KBN DIAGNOSTICS, LLC

Practice address

11612 Oak St
Kansas City, MO 64114-5623

Phone

(913) 451-0059

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Joe Mangornchai

Title

Manager

Phone

(913) 451-0059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1740801893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27311",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662257311",
            "telephone_number": "913-451-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11612 OAK ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145623",
            "telephone_number": "913-451-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBN DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "MANGORNCHAI",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-451-0059"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Margaret Kay, LMSW
• Caroline Kay
• Allyssa Nichole Kays, MD
• Husam Kayyali
• Syed Razi Haider Kazmi
• KC at Homecare LLC
• KC Behavioral Health LLC
• KC Chauffeur LLC
• KC Core St-Joseph LLC
• KC Counselors, LLC

• Clinical Medical Laboratory in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.