Organization
DALCOR INC
Active
Other names
Midwest Cancer Screening
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS W JOHNSON PHD (PRESIDENT)
(417) 889-6644
Entity
Organization
Contact information
Practice address
1936 E SUNSHINE, STE E, SPRINGFIELD, MO 65804
(417) 889-6644
(417) 889-9095
Mailing address
1936 E SUNSHINE, STE E, SPRINGFIELD, MO 65804
(417) 889-6644
(417) 889-9095
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000420240
—
MT
05
—
10025129700
—
NE
05
—
2251209
—
OH
05
—
7124878
—
WA
05
—
8169900
—
NJ
Enumeration date
08/04/2006
Last updated
08/22/2020
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