| NPI | 1689886319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOYCE STETSON Medical Director 806-743-2463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX CLIA 45D0660644) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-05-20 |