| NPI | 1043249162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED WHITE Director 325-677-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0508317) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2024-09-19 |