| NPI | 1841506516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK COTTRELL Owner 956-225-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D201105) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-23 |