NPI | 1013905439 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES R WELCH Owner 620-421-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 04-21222) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2012-12-13 |