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 |