| NPI | 1750493144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME BLOCK Owner 620-251-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 17D0452210) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |