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General NPI Number Information
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NPI Number | 1548230501
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Entity Type | Organization
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Legal Business Name | AFFILIATED MEDICAL SERVICES LABORATORY, INC.
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 2916 E CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67214-4717
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Country | US
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Telephone | 316-265-4533
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Fax | 316-858-1043
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Provider Business Mailing Address
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Address Line | PO BOX 12127
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City | WICHITA
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State | KS
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Zip | 67277-2127
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Country | US
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Telephone | 316-265-4533
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Fax | 316-858-1043
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. EDWIN R HARNED
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Credential |
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Telephone | 316-265-4533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | N/A
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License Number State |
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