| NPI | 1093177420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN DISINGER President 561-302-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800028061) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |