Provider Demographics
NPI:1427386796
Name:EUROFINS VIRACOR LLC
Entity Type:Organization
Organization Name:EUROFINS VIRACOR LLC
Other - Org Name:VIRACOR EUROFINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:URBANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-799-1610
Mailing Address - Street 1:18000 W 99TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1233
Mailing Address - Country:US
Mailing Address - Phone:800-305-5198
Mailing Address - Fax:816-347-0143
Practice Address - Street 1:18000 W 99TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1233
Practice Address - Country:US
Practice Address - Phone:800-305-5198
Practice Address - Fax:816-347-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-25
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR232917709Medicaid
LA2520881Medicaid