NPI | 1255879763 |
---|---|
Doing Business As | KINGDOM HEALTH LABORATORY |
Entity Type | Organization |
Authorized Contact | KEITH J GRAY Officer 469-995-7792 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D2122926) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2022-08-29 |