| NPI | 1649594128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZZNINOTHCKA ARCE Administrator 939-969-1438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1199) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-06-02 |