Organization
MOLECULAR LAB ASSOCIATES ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH RENZI (OWNER)
(913) 645-8862
Entity
Organization
Contact information
Practice address
2908 GREENBRIAR DR STE A, SPRINGFIELD, IL 62704-7433
(833) 480-2441
Mailing address
16124 FOSTER ST, OVERLAND PARK, KS 66085-8417
(913) 379-9230
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
06/21/2023
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