| NPI | 1508993379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT Owner 417-209-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-06-15 |