| NPI | 1033861331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY QUEEN Operating Director 417-392-0913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-25 |