| NPI | 1083609127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A BERNHISEL Medical Director 813-914-7304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800020271) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-03-07 |