Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lawrence Clinical Laboratory Chartered

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1417928433

Lawrence Clinical Laboratory Chartered is an Anatomic Pathology & Clinical Pathology Physician in Lawrence, Kansas. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

325 Maine St
Lawrence, KS 66044-1360
Phone: (785) 749-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X

Record details

NPI number1417928433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Moddrell — President · (785) 749-6100
NPI enumeratedJanuary 28, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 442157, Lawrence, KS 66044-8933

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