NPI | 1093494627 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY WHYTE Director 904-799-6520 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 293D00000X Physiological Laboratory |
Enumeration Date | 2023-07-12 |
Last Update Date | 2023-07-12 |