NPI | 1619978061 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAKE WERNER Director Of Business Operations 832-549-8355 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 17d1027382) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2025-09-23 |