| NPI | 1386817435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA I OMAN President 915-855-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1081814) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2017-03-14 |