| NPI | 1447580758 |
|---|---|
| Doing Business As | HIS GRACE LAB COMPANY |
| Entity Type | Organization |
| Authorized Contact | PAMELA ADENUGA Director 817-704-8081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1091543) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-03-02 |