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 |