| NPI | 1194769497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY SMITHSON President 512-339-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0505003) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-09-05 |