| NPI | 1174642656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEN MARK SILVERBERG Medical Director 512-610-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 45D0505891) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-06-20 |