| NPI | 1659738631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN DAVID LEE O'REILLY Owner, General Supervisor 417-861-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO LC001418393) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2021-04-15 |