| NPI | 1033509492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CICETTI Owner 561-734-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL PY7715) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |