| NPI | 1003896853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARY RENDON President Pathology Medical Laberat 352-787-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-09-04 |