| NPI | 1679955140 |
|---|---|
| Former Legal Business Name | NEW WAVE LABORATORY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | RONNI HEFNER CEO 903-327-6412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-05-22 |