| NPI | 1770590895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD DAGGS President 817-536-7367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 000112) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-07-21 |