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Organization

INTELLIGENECG LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARIO OLIVEIRA JR. (CEO)
(913) 258-2301
Entity
Organization

Contact information

Practice address
17745 METCALF AVE BLDG 2, STILWELL, KS 66085-9464
(913) 258-2301
(843) 628-3268
Mailing address
17745 METCALF AVE BLDG 2, STILWELL, KS 66085-9464
(913) 258-2301
(843) 628-3268

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/30/2016
Last updated
04/16/2021
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