| NPI | 1811938681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Manager 940-384-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-04-04 |