| NPI | 1578549051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DENGLER President 903-509-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1044325) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2011-03-14 |