| NPI | 1477910404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN KING Vice President, Finance 817-454-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2086654) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |