| NPI | 1255075107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVARAMAKRISHNA YADAVALLI CEO 469-926-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-27 |