| NPI | 1891053807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GARCIA Manager 915-373-3817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2038383) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |