Provider Demographics
NPI:1467105890
Name:CORE TESTING SOLUTIONS LLC
Entity Type:Organization
Organization Name:CORE TESTING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURRESS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:314-359-1803
Mailing Address - Street 1:4050 PENNSYLVANIA AVE.
Mailing Address - Street 2:STE 115 #190
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111
Mailing Address - Country:US
Mailing Address - Phone:816-405-9877
Mailing Address - Fax:
Practice Address - Street 1:1000 NE FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5875
Practice Address - Country:US
Practice Address - Phone:816-405-9877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory