| NPI | 1013678333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT VITATOE Manager 816-309-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-01-10 |