| NPI | 1508249228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF R WILSON General Manager 913-396-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-03-28 |