| NPI | 1114264959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALANDRA ROLLINS Managing Member 817-339-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2051218) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |