Physicians Reference Laboratory LLC
Physicians Reference Laboratory LLC is a healthcare organization registered as Anatomic Pathology & Clinical Pathology Physician in Blue Springs, MO, holding Type 2 (organization) NPI 1790027837 since 2013. The authorized official on file is Gregory Keitges, Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790027837 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Physicians Reference Laboratory LLC |
| Practice address | 203 NW R D MIZE RD, STE 218, Blue Springs, MO, 64014 |
| Phone | 9133384070 |
| Fax | 9133384245 |
| Enumeration date | 2013-03-26 |
| Last updated in NPPES | 2013-03-26 |
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: 1790027837 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: 203 NW R D MIZE RD, STE 218, Blue Springs, MO, 64014
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346249604 | St. Mary'S Surgical Center LLC | Organization | Ambulatory Surgical Clinic/Center | Blue Springs, MO |
| 1093735557 | Michael Liston | Individual | Cardiovascular Disease Physician | Blue Springs, MO |
| 1760628093 | Kevin Witte | Individual | Orthopaedic Surgery Physician | Blue Springs, MO |
| 1689113540 | Lacey Case | Individual | Family Nurse Practitioner | Blue Springs, MO |
Verify this record
Cross-check NPI 1790027837 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
Who is the authorized official for Physicians Reference Laboratory LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-03-26.