| NPI | 1144621616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H COKER Owner 813-644-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2080343) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |