| NPI | 1558130153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED IHESHAM ALI SHAH President/Owner 281-989-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2025-08-14 |