| NPI | 1467109876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WILLIAMS-LARA Member 281-913-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2025-09-05 |