| NPI | 1205219938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE WYATT Payor Credentialing Specialist 913-361-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-08-14 |