NPIMap

Organization Active NPI

Wichita State University

  • Clinical Medical Laboratory
  • Wichita, KS
National Provider Identifier
1972308245
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WICHITA STATE UNIVERSITY
Practice address
4174 S Oliver St BLDG 174H
Wichita, KS 67210-2142
Phone
(316) 978-8600
Fax
(316) 978-8610
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Sarah Nickel, MLS
Title
Director
Phone
(316) 978-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4174 S Oliver St BLDG 174H
Wichita, KS 67210-2142

Mailing address

4174 S Oliver St BLDG 174H
Wichita, KS 67210-2142
Phone (316) 978-8600

Other names 1

  • Molecular Diagnostics Laboratory Doing business as

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
17D2189034Molecular Diagnostic Laboratory- Wichita State Uni4174 S. Oliver, BLD #174H, Wichita, KS 67210ComplianceJan 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wichita State University Student Health Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4174 S Oliver St
Bldg 174H
Wichita, KS 67210
Phone (316) 978-8600

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1972308245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 S OLIVER ST BLDG 174H",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672102142",
            "telephone_number": "316-978-8600",
            "fax_number": "316-978-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 S OLIVER ST BLDG 174H",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672102142",
            "telephone_number": "316-978-8600",
            "fax_number": "316-978-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "NICKEL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "316-978-8600",
        "authorized_official_credential": "MLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molecular Diagnostics Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.