| NPI | 1245692169 |
|---|---|
| Doing Business As | KINGDOM HEALTH LABORATORY |
| Entity Type | Organization |
| Authorized Contact | KEITH J GRAY Managing Partner 469-995-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-05-18 |