| NPI | 1760134951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDOKA UGBALA Director 832-602-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-02-01 |