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Organization

PHYSICIANS REFERENCE LABORATORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY J KEITGES (COO)
(913) 338-4070
Entity
Organization

Contact information

Practice address
2800 E ROCK HAVEN RD, HARRISONVILLE, MO 64701-4411
(913) 338-4070
(913) 338-4245
Mailing address
7800 W 110TH ST, STE 200, OVERLAND PARK, KS 66210-2304
(913) 338-4070
(913) 338-4245

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
03/22/2012
Last updated
03/22/2012
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