| NPI | 1851697858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W WHITE CEO 210-614-1117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2018765) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2014-10-30 |