| NPI | 1023368933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO SEPULVEDA Manager 210-579-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2045368) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2022-07-21 |