NPI age
20 years
Enumerated 2006-02-01
Across 2082 active clinical medical laboratory providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 109469002 | |
| 01 (TX) | 690004016 | MC RR IL |
| 01 (TX) | HE23 | BCBS |
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Ameripath Inc..
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