| NPI | 1417985417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RENDON Manager, G.P. 210-614-7823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1052872) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |