| NPI | 1184616054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DENNIS KENT Administrator 913-492-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 17D0648220) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |