| NPI | 1174638985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W LEWIS RANDALL President 620-225-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |