| NPI | 1932558632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA NYCOL BROWN Paralegal 972-924-5793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CO 06D2108998) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |