| NPI | 1093202137 |
|---|---|
| Former Legal Business Name | MDCONNECT LLC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY SCOTT GREVIOUS Chief Executive Officer 941-914-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-06-16 |