| NPI | 1770521403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KULAGA President 903-593-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-07-18 |