OrganizationActive
Ankle and Foot Centers of Missouri P.C.
NPI 1790714491 · Clinical Medical Laboratory · Gladstone, MO
Provider details
- NPI number
- 1790714491
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Akilis Theoharidis, President
- License
- 000747 (MO)
Practice location
407 Ne 76th Ter
Gladstone, MO 64118-1708
Phone: (816) 436-7900
Fax: (816) 436-0999
Mailing address
407 Ne 76th Ter
Gladstone, MO 64118-1708
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2022-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.