| NPI | 1023179736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIBERTO ERNESTO MARTINEZ President 305-882-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800016693) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-05-06 |