| NPI | 1770568263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE GRAHAM Administrator 316-962-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-08-22 |