| NPI | 1679364129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FNU MOHAMMED ADNAN KHAN Owner/President 469-880-1554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-20 |