| NPI | 1013206630 |
|---|---|
| Doing Business As | 4RG LAB TEST |
| Doing Business As | GREATER VISION FACILITIES |
| Entity Type | Organization |
| Authorized Contact | ERIC TUCKER Owner 214-277-9814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2022-03-25 |