| NPI | 1730520198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A DYSERT President 214-823-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0481682) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2023-09-06 |