Organization
RIVER CITY LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TRAYLOR (CFO)
(816) 306-8108
Entity
Organization
Contact information
Practice address
212 S WOODBINE RD # 230-125, SAINT JOSEPH, MO 64506-3447
(816) 306-8108
Mailing address
7130 W MAPLE ST # 230-333, WICHITA, KS 67209-2187
(816) 306-8108
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
03/15/2022
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