| NPI | 1144542754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BAKER Owner 210-601-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-05-05 |