| NPI | 1013525286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA RENU TIGULLA Authorized Official 972-807-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-01-19 |