| NPI | 1306940689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY MOORING Owner 580-332-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 8286) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-08-30 |