Physicians Reference Laboratory LLC
Physicians Reference Laboratory LLC is a healthcare organization registered as Anatomic Pathology & Clinical Pathology Physician in Overland Park, KS, holding Type 2 (organization) NPI 1063758191 since 2012. The authorized official on file is Gregory Keitges, Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063758191 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Physicians Reference Laboratory LLC |
| Practice address | 10730 NALL AVE, STE 100, Overland Park, KS, 66211 |
| Phone | 9133384070 |
| Fax | 9133384245 |
| Enumeration date | 2012-12-18 |
| Last updated in NPPES | 2012-12-18 |
Authorized official
| Name | Gregory Keitges |
|---|---|
| Title | Coo |
| Phone | 9133384070 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZC0006X | Clinical Pathology Physician | Secondary | — | — |
| 207ZC0500X | Cytopathology Physician | Secondary | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | Secondary | — | — |
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician | Secondary | — | — |
| 207ZP0101X | Anatomic Pathology Physician | Secondary | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | Secondary | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Primary | — | — |
Copy-ready billing details
Provider: Physicians Reference Laboratory LLC NPI: 1063758191 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: 10730 NALL AVE, STE 100, Overland Park, KS, 66211
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316942972 | Joe Cates | Individual | Surgery Physician | Overland Park, KS |
| 1225033889 | Jeffrey Cameron | Individual | Surgery Physician | Overland Park, KS |
| 1770588345 | Edward Higgins | Individual | Vascular Surgery Physician | Overland Park, KS |
| 1114924685 | South Kansas City Surgical Center, Lc | Organization | Ambulatory Surgical Clinic/Center | Overland Park, KS |
| 1992778526 | Kansas City General and Vascular Surgeons, P.A. | Organization | Surgery Physician | Overland Park, KS |
| 1487616405 | Shaheen Ahmed | Individual | Anatomic Pathology & Clinical Pathology Physician | Overland, KS |
| 1154372670 | David Smith | Individual | Adult Medicine Physician | Overland Park, KS |
| 1881645018 | Nelda Ebers | Individual | Certified Registered Nurse Anesthetist | Overland Park, KS |
Verify this record
Cross-check NPI 1063758191 against the authoritative CMS record: view Physicians Reference Laboratory LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Physicians Reference Laboratory LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-12-18.