| NPI | 1336593888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED KIONI Owner 972-891-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2062168) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2021-06-15 |