| NPI | 1972829513 |
|---|---|
| Doing Business As | LAKERIDGE LABORATORY |
| Entity Type | Organization |
| Authorized Contact | JUAN E MARTIN President 512-913-6512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45d0678293) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-06-29 |