# WESLEY CATH LAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467460030
- **Authorized official:** DAVID A. BUSATTI (BOARD MEMBER)
- **Authorized official phone:** (316) 962-2204

## Contact information

- **Practice address:** 551 N HILLSIDE ST, SUITE 310, WICHITA, KS 67214-4923
- **Practice address phone:** (316) 962-7004
- **Practice address fax:** (316) 962-7006
- **Mailing address:** 551 N HILLSIDE ST, SUITE 310, WICHITA, KS 67214-4923
- **Mailing address phone:** (316) 962-7004
- **Mailing address fax:** (316) 962-7006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020