Provider Demographics
NPI:1689462970
Name:LDW LABS LLC
Entity type:Organization
Organization Name:LDW LABS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LENASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-768-4449
Mailing Address - Street 1:1327 BURLINGTON ST STE K6
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4068
Mailing Address - Country:US
Mailing Address - Phone:816-643-0526
Mailing Address - Fax:816-281-8144
Practice Address - Street 1:1327 BURLINGTON ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-4068
Practice Address - Country:US
Practice Address - Phone:816-643-0526
Practice Address - Fax:816-281-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory