| NPI | 1780718809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON PYBURN CHAMPION President 903-262-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1025332) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-12 |