| NPI | 1073662755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. BOUTWELL-PITTMAN Director Of Clinical Services 772-569-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-12 |