| NPI | 1548927049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEACE OKWUBODU Owner 214-235-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2022-01-20 |