| NPI | 1053530402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY QUEEN President 561-989-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800020612) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-06-24 |