| NPI | 1790836419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDERS MATHISEN Vice President Finance 214-820-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0928347) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |