| NPI | 1215272406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FREDERICK MCCARTY CEO 512-600-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2022-07-21 |