| NPI | 1306143607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA ALICIA CARDONA Owner 956-581-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2020075) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-06-13 |