| NPI | 1811341217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN VISKOVICH Vice President Of Legal 972-630-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2096977) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2017-09-19 |