River City Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RIVER CITY LABORATORY, LLC

Practice address

212 S Woodbine Rd # 230-125
Saint Joseph, MO 64506-3447

Phone

(816) 306-8108

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Traylor

Title

Cfo

Phone

(816) 306-8108

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1801499819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 W MAPLE ST # 230-333",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092187",
            "telephone_number": "816-306-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S WOODBINE RD # 230-125",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063447",
            "telephone_number": "816-306-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-306-8108"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia K Rickert
• William Rippe, M.D.
• Rebecca Ripperger
• Peggy S Rittscher, APRN-BC
• Federico Rivas-Gotz, M.D.
• Rica Rivera
• Cynthia Ann Roades, RPH
• Trennon Roarty
• Carol A. Robb, L.C.S.W.
• Robert C. Paolillo,Ddspc

• Clinical Medical Laboratory in Saint Joseph, MO
• Providers in Saint Joseph, 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 Mar 15, 2022; 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.