| NPI | 1962655811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE FAIRBANKS Vice President 214-648-0309 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D1089001) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2011-02-25 |