| NPI | 1629496724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GITLIN Owner 713-380-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2074778) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |