Organization
RIORDAN CLINIC, INC
Active
Other names
Bio-Center Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E HUNNINGHAKE MD (CHIEF MEDICAL OFFICER/BOARD MEMBER)
(316) 682-3100
Entity
Organization
Contact information
Practice address
3100 N HILLSIDE ST, WICHITA, KS 67219-3904
(316) 682-3100
(316) 682-2062
Mailing address
3100 N HILLSIDE ST, WICHITA, KS 67219-3904
(316) 682-3100
(316) 682-2062
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
17D0648333
KS
291U00000X
Clinical Medical Laboratory
Primary
17D0648333 (CLIA#)
KS
Other
Enumeration date
08/30/2006
Last updated
01/20/2011
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