| NPI | 1023760808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGNON THOMAS CEO/Owner 409-679-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2022-01-22 |