| NPI | 1023601374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMESHA KEEL Administrator 305-798-9347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-03-10 |