Organization
AFFILIATED MEDICAL SERVICES LABORATORY, INC.
Active
Other names
AMS Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN R HARNED (PRESIDENT AND CEO)
(316) 265-4533
Entity
Organization
Contact information
Practice address
2916 E CENTRAL AVE, WICHITA, KS 67214-4717
(316) 265-4533
(316) 858-1043
Mailing address
PO BOX 12127, WICHITA, KS 67277-2127
(316) 265-4533
(316) 858-1043
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100394190A
—
KS
01
—
117923
BLUE CROSS BLUE SHIELD
KS
Enumeration date
01/24/2006
Last updated
11/20/2008
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