| NPI | 1790714814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A SHIELDS Biller 785-364-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 6052484) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |