17D2181103 CLIA NUMBER - KC DIABETES & ENDOCRINOLOGY, PA

Laboratory Demographics

CLIA Number: 17D2181103

Facility Name: KC DIABETES & ENDOCRINOLOGY, PA

Facility Address:
11661 COLLEGE BLVD SUITE 100
OVERLAND PARK, KS
ZIP 66210
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Facility Phone Number: 913 232-9020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457907370

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	17D2181103
LAB Type	Physician Office
Facility Name	KC DIABETES & ENDOCRINOLOGY, PA
Street	11661 COLLEGE BLVD SUITE 100
City	OVERLAND PARK
State	KS
ZIP	66210
Phone	913 232-9020
CertificateType	4
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
FacilityType	Waiver

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