| NPI | 1225363393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TITUS Authorized Rep 713-481-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1102910) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |