| NPI | 1801935879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI R SKRADE Treasurer 417-269-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0652448) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-04-03 |