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 |