| NPI | 1659302388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLATITO ADENUGA KEHINDE Director Of Nursing /Adminstrator 817-276-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1028492) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-05-09 |