| NPI | 1386181964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTA N BRENSON Owner/Phleboto MIS T 816-812-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy (Licence: MO 246RP1900X) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |