Organization
KORE LAB SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN J BRADFORD MA (DIRECTOR, QUALITY COMPLIANCE)
(913) 850-9752
Entity
Organization
Contact information
Practice address
8787 METCALF AVE, OVERLAND PARK, KS 66212-2058
(913) 499-7780
(913) 499-8356
Mailing address
8787 METCALF AVE, OVERLAND PARK, KS 66212-2058
(913) 850-9752
(913) 499-8356
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17D2213577
CLIA CERTIFICATION
KS
Enumeration date
02/19/2021
Last updated
03/25/2021
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