| NPI | 1396957221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO A MARTINEZ Owner President 361-906-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1062585) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |