| NPI | 1104065705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA YVONNE JOLIVET CEO/Executive Director 409-813-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |