| NPI | 1801922893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LEWIS Billing Manager 903-594-2456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19d1054124) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |