| NPI | 1699794669 |
|---|---|
| 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 | 2006-07-19 |
| Last Update Date | 2012-03-06 |