| NPI | 1962481820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE GRAY Director, Revenue Cycle 214-237-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0908676) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2017-10-09 |