| NPI | 1326271859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MICHELLE JACKSON Owner 713-592-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 246RP1900X) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2014-05-02 |