15D1101989 CLIA NUMBER - ROMEO PINEDA MD

Laboratory Demographics

CLIA Number: 15D1101989

Facility Name: ROMEO PINEDA MD

Facility Address:
407 S CLAIRBORNE ROAD, SUITE 200
OLATHE, KS
ZIP 66062
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Facility Phone Number: 913 839-3139

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700920832

Taxonomy: 207QA0401X - Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.

CLIA Record

Field Name Field Value
CLIA Number 15D1101989
LAB Type Physician Office
Facility Name ROMEO PINEDA MD
Street 407 S CLAIRBORNE ROAD, SUITE 200
City OLATHE
State KS
ZIP 66062
Phone 913 839-3139
CertificateType 4
CertificateEffectiveDate 7/9/2023
CertificateExpirationDate 7/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024