Active NPI
Empowerme Diagnostics Kansas City, LLC
- Clinical Medical Laboratory
- Kansas City, MO
National Provider Identifier
1780306787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- EMPOWERME DIAGNOSTICS KANSAS CITY, LLC
- Practice address
- 9001 State Line Rd Ste 110
Kansas City, MO 64114-3211 - Phone
- (877) 367-9772
- NPI assigned
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Witges
- Title
- President of Empowerme Diagnostics
- Phone
- (844) 502-7996
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
9001 State Line Rd Ste 110
Kansas City, MO 64114-3211
Mailing address
PO Box 736005
Dallas, TX 75373-6005
Phone (877) 367-9772
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0687120 | Kansas City Hospice | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
9001 State Line Rd
Ste 110
Kansas City, MO 64114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675382400000",
"number": "1780306787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 736005",
"city": "DALLAS",
"state": "TX",
"postal_code": "753736005",
"telephone_number": "877-367-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 STATE LINE RD STE 110",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143211",
"telephone_number": "877-367-9772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERME DIAGNOSTICS KANSAS CITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-15",
"last_updated": "2023-02-03",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "WITGES",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "PRESIDENT OF EMPOWERME DIAGNOSTICS",
"authorized_official_telephone_number": "844-502-7996"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"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 Feb 3, 2023; 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.