Organization
MIDWEST TRANSPLANT NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB LINDERER (CHIEF EXECUTIVE OFFICER)
(913) 262-1668
Entity
Organization
Contact information
Practice address
1900 W 47TH PL, SUITE 400, WESTWOOD, KS 66205-1815
(913) 262-1668
(913) 262-5130
Mailing address
1900 W 47TH PL, SUITE 400, WESTWOOD, KS 66205-1801
(913) 262-1668
(913) 262-5130
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
17D0662524
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17HL01
HISTOCOMPATIBILITY LAB MEDICARE NUMBER
KS
Enumeration date
01/21/2009
Last updated
01/21/2009
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