Healthcare Provider Details

I. General information

NPI: 1467105890
Provider Name (Legal Business Name): CORE TESTING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NE FLORENCE AVE
LEES SUMMIT MO
64086-5875
US

IV. Provider business mailing address

4050 PENNSYLVANIA AVE. STE 115 #190
KANSAS CITY MO
64111
US

V. Phone/Fax

Practice location:
  • Phone: 816-405-9877
  • Fax:
Mailing address:
  • Phone: 816-405-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ASHLEY M BURRESS
Title or Position: PHARMACIST
Credential: PHARM D
Phone: 314-359-1803