| NPI | 1093869489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ANDRADE Laboratory Manager 915-328-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: TX 45D1015553) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |