Organization
CENTRAL MEDICAL LABORATORY, LLC
Active
Parent organization
HEALTH DIAGNOSTIC LABORATORY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH DIAGNOSTIC LABORATORY, INC.
Authorized official
JOSEPH MCCONNELL (PRESIDENT & CEO)
(804) 343-2718
Entity
Organization
Contact information
Practice address
8960 COMMERCE DR, BUILDING 6, DE SOTO, KS 66018
(804) 343-2718
Mailing address
8960 COMMERCE DR, BUILDING 6, DE SOTO, KS 66018
(804) 343-2718
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
17D1089651
KS
Other
Enumeration date
06/10/2014
Last updated
04/20/2015
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