BLAQOUT, INC.
NPI 1750072849
Clinic/Center - Community Health in Kansas City, MO
About Blaqout, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAQOUT, INC. (NPI 1750072849) is 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.Information from the official NPPES registry record, last updated May 18, 2023.
NPPES Registry Identity
★ Primary Specialty
Also Listed
Also Listed
Also Listed
Also on File with NPPES
Kansas City, MO 64111-1908
Phone (816) 866-0355
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2240659
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 21, 2025
- Certificate Expiration Date
- October 20, 2027
- Laboratory Director
- ANUBHAV KIDAMBI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Blaqout, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750072849, enumerated as an "organization" on May 18, 2023.
The provider is located at 517 CAMPBELL ST KANSAS CITY, MO 64106 and the phone number is (816) 866-0355.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
