| NPI | 1851264535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA GRAY President/Owner 469-372-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-09-27 |
| Last Update Date | 2025-09-27 |