NPI | 1003804543 |
---|---|
Doing Business As | THE VILLAGES CLINICAL LABORATORY |
Entity Type | Organization |
Authorized Contact | CLIFTON L. BRIDGES President 352-751-8906 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800011622) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2007-08-09 |