Intelligenecg LLC

NPI #1548611593 in Stilwell, Kansas

Provider Information

NPI Number
1548611593
Entity Type
Organization
Organization Name
Intelligenecg LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jun 30, 2016
Last Updated
Apr 16, 2021

Practice Location

Address
17745 METCALF AVE BLDG 2
State
Kansas
ZIP Code
66085-9464
Phone
(913) 258-2301

Authorized Official

Name
MR. MARIO OLIVEIRA JR.
Title
CEO
Phone
(913) 258-2301

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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