Organization Active NPI

Clinical Reference Laboratory, Inc.

  • Clinical Medical Laboratory
  • Olathe, KS
National Provider Identifier
1811510027
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CLINICAL REFERENCE LABORATORY, INC.
Practice address
1121 W Old Highway 56
Olathe, KS 66061-5256
Phone
(913) 492-3652
NPI assigned
May 21, 2020
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CLINICAL REFERENCE LABORATORY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Cheryl D Hancock
Title
Executive Director of Accounting
Phone
(913) 693-5413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1121 W Old Highway 56
Olathe, KS 66061-5256

Mailing address

8433 Quivira Rd
Lenexa, KS 66215-2802
Phone (913) 492-3652

Other names 1

  • CRL - Olathe Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2073338Clinical Reference Laboratory, Inc1121 Old Highway 56, Olathe, KS 66061AccreditationJan 19, 2028

National Provider Directory

National Provider Directory
Part of
Clinic Reference Lab Inc

Locations

1121 W Old Highway 56
Olathe, KS 66061
Phone (913) 492-3652

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1811510027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152802",
            "telephone_number": "913-492-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W OLD HIGHWAY 56",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615256",
            "telephone_number": "913-492-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL REFERENCE LABORATORY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICAL REFERENCE LABORATORY, INC.",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "913-693-5413",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRL - Olathe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.