Healthcare Provider Details

I. General information

NPI: 1689558785
Provider Name (Legal Business Name): SYRINITY LAB SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/15/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7316 TRACY AVE
KANSAS CITY MO
64131-1734
US

IV. Provider business mailing address

7316 TRACY AVE
KANSAS CITY MO
64131-1734
US

V. Phone/Fax

Practice location:
  • Phone: 816-389-7726
  • Fax:
Mailing address:
  • Phone: 816-389-7726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. VANESSA MONIQUE LUCAS
Title or Position: FOUNDER
Credential: CPT
Phone: 816-367-5227