| NPI | 1689646382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD WIKE SCAMMAN Owner 785-272-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 04-13162) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |