| NPI | 1992789507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HURLY President 417-623-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0666300) |
| 291U00000X Clinical Medical Laboratory (Licence: MO 26D0445616) | |
| 291U00000X Clinical Medical Laboratory (Licence: MO 26D0445668) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2015-01-27 |