| NPI | 1063707743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH DANIEL CEO 972-432-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2023963) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-05-15 |