| NPI | 1033351226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN HARRISON Provider Enrollment COO Rdinator 903-510-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2014-01-31 |