| NPI | 1083793517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADAMES PELLOT President 787-283-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1040) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-07-25 |