| NPI | 1740333822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SY Q LE President 972-506-9986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D093390) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-12 |