| NPI | 1275220212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUETILLA ATTAWAY Phlebotomist/Specimen Collector 903-431-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |