| NPI | 1245787951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE MAURO Owner 832-434-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800028258) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2017-10-04 |