| NPI | 1821301342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN REDDELL Coowner 816-678-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: MO LC1073084) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |