| NPI | 1356351225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANLEY MCTAGGART President & Supervising Physician 254-752-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-12-30 |