| NPI | 1245740208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE R BRISTOW Officer 214-396-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2122376) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-06 |