| NPI | 1245510742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGER DANIEL REID Director 817-901-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX PA07124) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |