| NPI | 1396520102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLET LEWIS Laboratory Director 512-760-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291900000X Military Clinical Medical Laboratory |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |