NPI | 1215990148 |
---|---|
Former Legal Business Name | MIDWEST ANATOMIC PATHOLOGY LABORATORY LLC |
Entity Type | Organization |
Authorized Contact | RUSSELL LEE BENSON President 913-341-6297 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2006-04-11 |
Last Update Date | 2012-10-26 |