| NPI | 1376818484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J KEITGES COO 913-338-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |