| NPI | 1902191364 |
|---|---|
| Other Name | ST. ROSE LABORATORY SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRUCE B WEDDELL Chief Financial Officer 620-786-6643 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 17D0452730) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |