| NPI | 1497001234 |
|---|---|
| Doing Business As | STAT LAB |
| Entity Type | Organization |
| Authorized Contact | ROBIN JOHNSON Laboratory Director 512-906-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2043244) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2013-08-30 |