| NPI | 1912448903 | 
|---|---|
| Other Name | CALVARY HUMBLE LAB | 
| Entity Type | Organization | 
| Authorized Contact | JOSEPH GOIN Owner/Medical Director 832-680-2273  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX K5963)  | 
| Enumeration Date | 2017-03-10 | 
| Last Update Date | 2017-03-10 |