| NPI | 1730586512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOTESHWARA NADIPALLI President 972-259-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2093078) |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2015-06-30 |