| NPI | 1225644958 |
|---|---|
| Doing Business As | XYZ LABORATORY |
| Entity Type | Organization |
| Authorized Contact | KEQIN YANG GREGG Chief Operation Officer 512-584-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |