| NPI | 1992041214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITALI SHAH Owner 832-541-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D2050451) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2020-03-27 |