| NPI | 1215658703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEREKA MILES Owner 281-783-6965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2024-03-01 |