| NPI | 1417012121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARD NEWCOMB President 316-681-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: KS 17D0451607) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |