| NPI | 1811510027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL D HANCOCK Executive Director Of Accounting 913-693-5413 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |