Organization
MAWD LABORATORY PARTNERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE WYATT (PAYOR CREDENTIALING SPECIALIST)
(913) 361-8528
Entity
Organization
Contact information
Practice address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 396-8509
(913) 318-8378
Mailing address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 361-8528
(913) 318-8378
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201291700A
—
OK
05
—
30005100040003
—
KS
05
—
500138595
—
MO
Enumeration date
06/30/2015
Last updated
05/13/2026
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