Organization
MID STAR LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DAWN O'BRIEN (OWNER/ CEO)
(913) 369-8734
Entity
Organization
Contact information
Practice address
406 W 34TH ST STE 710, KANSAS CITY, MO 64111-7511
(816) 839-4771
Mailing address
1701 COMMERCE RD, TONGANOXIE, KS 66086-5369
(913) 369-8734
(844) 409-6687
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/10/2017
Last updated
04/21/2026
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