| NPI | 1548133598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAM REDDY NAGAMPETA Owner/Authorized Official 682-449-4259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |