| NPI | 1326030263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID MORASCO President 660-626-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0652134) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |