| NPI | 1033108519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF W WILSON General Manager 913-396-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 26D0652254) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2022-07-15 |