0001594886-13-000001.txt : 20131219 0001594886-13-000001.hdr.sgml : 20131219 20131219165614 ACCESSION NUMBER: 0001594886-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131219 DATE AS OF CHANGE: 20131219 EFFECTIVENESS DATE: 20131219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PHYSICIANS REFERENCE LABORATORY, L.L.C. CENTRAL INDEX KEY: 0001594886 IRS NUMBER: 742808597 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-208374 FILM NUMBER: 131288852 BUSINESS ADDRESS: STREET 1: 7800 W. 110TH STREET CITY: OVERLAND PARK STATE: KS ZIP: 66210 BUSINESS PHONE: 9133384070 MAIL ADDRESS: STREET 1: 7800 W. 110TH STREET CITY: OVERLAND PARK STATE: KS ZIP: 66210 D 1 primary_doc.xml X0707 D LIVE 0001594886 PHYSICIANS REFERENCE LABORATORY, L.L.C. 7800 W. 110TH STREET OVERLAND PARK KS KANSAS 66210 9133384070 MISSOURI None None Limited Liability Company true Spencer Kerley 7800 W. 110th Street Overland Park KS KANSAS 66210 Executive Officer President of Pierre W. Keitges, M.D., Manager Other Health Care Decline to Disclose 06b false 2013-09-25 false true false 150000 2850000 2850000 0 false 4 0 0 0 false PHYSICIANS REFERENCE LABORATORY, L.L.C. Spencer W. Kerley, M.D. Spencer W. Kerley, M.D. President of Pierre W. Keitges, M.D., P.C., Manager 2013-12-19