| NPI | 1578908869 |
|---|---|
| Doing Business As | PREMIERTOX LABORATORY-SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | STEVEN E KLIPP President 270-866-8854 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2015-05-08 |