| NPI | 1568799591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE VDOVYCHENCKO Director Of Laboratory Services 817-915-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |