| NPI | 1710769039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONDRALIQUE LASHAE GREENE Lab Director 817-401-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-10-29 |