| NPI | 1073980785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P FERRARO Managing Member 772-971-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027783) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |