| NPI | 1851746960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIZAR A ALIKHAN Credentialing Contact 214-888-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2100510) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |