| NPI | 1083920920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD STEVEN GOLDSTEIN Physician 214-618-2044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX J4157) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |