# PHYSICIANS REFERENCE LABORATORY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376818484
- **Authorized official:** MR. GREGORY J KEITGES (COO)
- **Authorized official phone:** (913) 338-4070

## Contact information

- **Practice address:** 2800 E ROCK HAVEN RD, HARRISONVILLE, MO 64701-4411
- **Practice address phone:** (913) 338-4070
- **Practice address fax:** (913) 338-4245
- **Mailing address:** 7800 W 110TH ST, STE 200, OVERLAND PARK, KS 66210-2304
- **Mailing address phone:** (913) 338-4070
- **Mailing address fax:** (913) 338-4245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2012
- **Last updated:** 03/22/2012