| NPI | 1619376316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L GROTTENTHALER CEO 972-987-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2082195) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2019-01-23 |