| NPI | 1477143204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA HAIRSTON Owner/Executive Administrator 210-706-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2026-08-28 |