| NPI | 1013311455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANCA V. HILDRETH Administrator 561-447-0090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800015266) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |