| NPI | 1003061375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY KANYANKOLE MUGISHA President 817-500-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1087265) |
| Enumeration Date | 2008-11-29 |
| Last Update Date | 2008-11-29 |