| NPI | 1467048181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID CARLSON Lab Manager 214-475-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-23 |