| NPI | 1053766568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNA MARTINEZ Manager 325-939-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2022-11-21 |