| NPI | 1710769039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONDRALIQUE LASHAE GREENE Lab Director 469-279-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |