| NPI | 1477501435 |
|---|---|
| Other Name | LAB VANTAGE |
| Entity Type | Organization |
| Authorized Contact | LORI ANN KENG CFO 361-808-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0995752) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |