| NPI | 1770022592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY RANEY Operations Manager 972-338-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45d2123951) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2021-01-12 |