Organization
KBN DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MANGORNCHAI (MANAGER)
(913) 451-0059
Entity
Organization
Contact information
Practice address
11612 OAK ST, KANSAS CITY, MO 64114-5623
(913) 451-0059
Mailing address
PO BOX 27311, OVERLAND PARK, KS 66225-7311
(913) 451-0059
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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