| NPI | 1861415648 |
|---|---|
| Other Name | OUTREACH DIAGNOSTIC LAB |
| Entity Type | Organization |
| Authorized Contact | GLENDA W COCHRAN Accounting Manager 806-771-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX F9739) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |