| NPI | 1740686153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WILHELMS Director Of Lab Operations 972-924-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-12-30 |