Organization
BETA BIOSCIENCES, LLC
Active
Other names
KINGDOM HEALTH LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH J GRAY (MANAGING PARTNER)
(469) 995-7792
Entity
Organization
Contact information
Practice address
1420 NW VIVION RD, KANSAS CITY, MO 64118-4555
(469) 995-7138
(469) 995-8238
Mailing address
PO BOX 681390, RIVERSIDE, MO 64168-1390
(469) 995-7792
(469) 995-8238
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
05/18/2022
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