| NPI | 1356448617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ELAINE SULLIVAN Medical Technologist 713-794-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX MT-143756) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |