| NPI | 1255946869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GOSS Owner 713-819-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207ZP0007X Pathology, Molecular Genetic Pathology | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-10-04 |