| NPI | 1790172310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ENGLISH Member 719-440-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2082145) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |