| NPI | 1477558179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA ATWOOD CFO 210-614-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0660453) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |