| NPI | 1922554047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIET NGUYEN Owner 281-861-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2017-05-01 |