NPI | 1205440435 |
---|---|
Doing Business As | VICTORY MEDICAL LABORTORY |
Entity Type | Organization |
Authorized Contact | SHARON MICHELLE HOLLE Chief Executive Officer 512-462-3627 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |