| NPI | 1306165030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GILLILAND Manager 214-440-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1085290) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2018-07-17 |