| NPI | 1881791671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN U MICHELL Billing Manager 210-473-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1037353) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |