Intelligenedx LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

207SC0300X Issued in NY

Legal business name

INTELLIGENEDX LLC

Practice address

10900 S Clay Blair Blvd
Ste 1400
Olathe, KS 66061-1301

Phone

(415) 983-2762

Fax

(866) 557-6261

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Rushton, PHD, ABMGG

Title

Lab Director

Phone

(505) 235-3810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1912386491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 S CLAY BLAIR BLVD",
            "address_2": "STE 1400",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660611301",
            "telephone_number": "415-983-2762",
            "fax_number": "866-557-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 S CLAY BLAIR BLVD",
            "address_2": "STE 1400",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660611301",
            "telephone_number": "415-983-2762",
            "fax_number": "866-557-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENEDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "RUSHTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "505-235-3810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD, ABMGG"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "207SC0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Olathe, KS
• Providers in Olathe, 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 May 29, 2015; 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.