Organization
MID STAR LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DAWN O'BRIEN (OWNER/ CEO)
(913) 369-8734
Entity
Organization
Contact information
Practice address
1701 COMMERCE RD, TONGANOXIE, KS 66086-5369
(913) 369-8734
(913) 369-2886
Mailing address
1701 COMMERCE RD, TONGANOXIE, KS 66086-5369
(913) 369-8734
(844) 409-6687
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200721440A
—
OK
Enumeration date
05/02/2012
Last updated
04/21/2026
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