| NPI | 1093229908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK KENT General Manager 817-793-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PENDING) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |