| NPI | 1255641213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL PUTMAN Gerneral Partner / Medical Director 214-823-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |