| NPI | 1881075497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW G URBANEK Director 816-554-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00347776) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2021-11-23 |