| NPI | 1326441049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB NEVILLE Owner 214-513-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2084565) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2015-10-15 |