Organization
AMERICAN HEALTH LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DENNIS KENT (ADMINISTRATOR)
(913) 492-3634
Entity
Organization
Contact information
Practice address
15303 W 95TH ST, LENEXA, KS 66219-1262
(913) 492-3634
Mailing address
15303 W 95TH ST, LENEXA, KS 66219-1262
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16500351
—
CO
Enumeration date
08/17/2005
Last updated
08/22/2020
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