NPI | 1053067215 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA TUCKER Owner 813-851-3140 |
Organization Subpart ? | No |
Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
Enumeration Date | 2022-02-25 |
Last Update Date | 2022-02-25 |