| NPI | 1568561512 |
|---|---|
| Doing Business As | MAG LAB |
| Entity Type | Organization |
| Authorized Contact | GARY D PETERSON Owner 620-232-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-08-11 |