AESTHETIC LUXURY SPA LLC – NPI #1518611904
Technician, Pathology

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

AESTHETIC LUXURY SPA LLC is a pathology technician located in KANSAS CITY, MO. NPPES has assigned the NPI number 1518611904 to AESTHETIC LUXURY SPA LLC on February 05, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 247ZC0005X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Clinical Laboratory Director, Non-physician

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AESTHETIC LUXURY SPA LLC below.

NPI Profile for
AESTHETIC LUXURY SPA LLC

NPI Number
1518611904
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AESTHETIC LUXURY SPA LLC
Primary location
2321 TROOST AVE STE 101
KANSAS CITY, MO 64108-2834
Phone: (816) 200-2409 Fax: (816) 320-0028
1 Other location(s):
417 SW Ward Rd
Lees Summit, MO 64081-2448
Phone: (816) 200-2409
Fax: (816) 320-0028
Mailing address
17201 E 40 HWY STE 114
INDEPENDENCE, MO 64055-6437
Phone: (816) 886-2227 Fax: (816) 886-2227
Organization Subpart
No
Authorized Official
LASHAN ALLEN
NURSE PRACTITIONER
Phone: (816) 577-1200
Updated
Certification Date
Oct 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AESTHETIC LUXURY SPA LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO863097642
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247ZC0005X
- Technician, Pathology / Clinical Laboratory Director, Non-physician (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
FAX
Endpoint type
CONNECT URL
Endpoint Description
8163200028
Content Type
CSV
Affiliation
N
Endpoint Location
2321 TROOST AVE STE 101,
KANSAS CITY, MO 77025-1669