| NPI | 1265829279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS C PRIETO President 915-849-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 32056766846) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-12-18 |