| 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 |