| NPI | 1659297158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEASHA PIPPENS Owner 972-750-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2026-06-29 |
| Last Update Date | 2026-06-29 |