| NPI | 1316976178 |
|---|---|
| Doing Business As | ORDERED CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MAEIDA YVETTE OWUSU-ANSAH CEO 817-732-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1041562) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |