| NPI | 1508144148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M MOORE Director 972-867-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 49D2025312) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2022-12-02 |