| NPI | 1023066412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH LEA CARDEN Practice Administrator 806-418-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-04-22 |