| NPI | 1023886595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY THOMAS Director/Authorized Official 972-839-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-01-17 |