| NPI | 1538860119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALUN MALONE Authorized Official 214-675-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |