| NPI | 1124446703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT UNDERWOOD Manager 954-523-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D207494) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |