| NPI | 1720730815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUS ULUOCHA Director 832-249-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-02-03 |