BLAQOUT, INC.
NPI 1750072849
Clinic/Center - Community Health in Kansas City, MO

Active since May 18, 2023CLIA 26D2240659 · Waiver
517 CAMPBELL ST, KANSAS CITY, MO 64106(816) 866-0355 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blaqout, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAQOUT, INC. (NPI 1750072849) is a healthcare organization registered as a community health in Kansas City, Missouri and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 20, 2027, maintains a secondary practice location in Kansas City, and lists D. Rashaan Gilmore, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1750072849
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameBLAQOUT, INC.
Location Address517 CAMPBELL STKansas City, MO 64106-1213
Mailing Address517 Campbell StKansas City, MO 64106-1213 · (816) 866-0355
Organization SubpartNo
Authorized OfficialD. Rashaan GilmoreFounder/ceo · (816) 866-0355
Enumeration DateMay 18, 2023
NPPES CertifiedMay 17, 2023
NPI 1750072849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
517 CAMPBELL ST, Kansas City, MO 64106

Other Names 1

Other NameBlaqout, Inc.

Secondary Practice Location 1

Location 13601 Main StKansas City, MO 64111-1908 · Phone (816) 866-0355

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2240659

Blaqout · Kansas City, MO
Active · expires Oct 20, 2027
CLIA Number26D2240659
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorAnubhav Kidambi
Laboratory Phone(816) 866-0355
Laboratory LocationBlaqout517 Campbell St, Kansas City, MO 64106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
517 CAMPBELL ST
KANSAS CITY, MO 64106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaqout, Inc.'s NPI number?

The NPI number for Blaqout, Inc. is 1750072849. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Blaqout, Inc. located?

Blaqout, Inc. is located at 517 Campbell St, Kansas City, MO 64106. The listed phone number is (816) 866-0355.

What is Blaqout, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Blaqout, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2240659) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blaqout, Inc. was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.