Organization
LABCAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GRACE RN (OWNER)
(316) 210-5223
Entity
Organization
Contact information
Practice address
105 S BROADWAY AVE STE 740, WICHITA, KS 67202-4240
(316) 299-9663
Mailing address
338 N RUTGERS ST, WICHITA, KS 67212-5408
(316) 299-9663
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/18/2019
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