| NPI | 1881097509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SIVARAMAN Billing Manager 214-618-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2084574) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-21 |