| NPI | 1043258536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HAMMETT Administrative Manager 512-873-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 05-D0643375) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |