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
930 CARONDELET DR, BLDG C STE 201, KANSAS CITY, MO 64114-4855
(913) 338-4070
(913) 338-4245
Mailing address
7800 W 110TH ST, OVERLAND PARK, KS 66210-2304
(913) 338-4070
(913) 338-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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