| NPI | 1730835646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SHONTAL DOBSON CEO 972-913-4647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246RM2200X Technician, Pathology Medical Laboratory |
| Additional Taxonomies | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| 2080I0007X Pediatrics Clinical & Laboratory Immunology | |
| 246QL0900X Specialist/Technologist, Pathology Laboratory Management | |
| 247ZC0005X Pathology Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |