| NPI | 1134190564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J HANLY Medical Director 305-825-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2010-05-17 |