| NPI | 1407206303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY K ROSSEL Officer 214-888-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2113755) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2018-03-17 |