| NPI | 1629003819 |
|---|---|
| Former Legal Business Name | PETERSON CLINICAL LABORATORY, PA |
| Entity Type | Organization |
| Authorized Contact | STANLEY J WERNER Administrator 785-539-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 17D0449919) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-03-19 |