CLIA Code Details

Clinical Laboratory Code : 17d0685794

BROADMOOR MED GROUP BAEKE JOHN ATHON M (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 17D0685794
Clinical laboratory number
Lab Name BROADMOOR MED GROUP BAEKE JOHN ATHON M
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type N/S (NOT SPECIFIED)
Clinical laboratory certificate type

Contacts

Phone 913-642-4242
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 6806 W 83RD ST
Primary location adress line
City OVERLAND PARK
Primary location city name
State KS
Primary location state name
Zip 66204
Primary location postal code

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