NPI | 1154078541 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY MONIQUE ELLSBERRY Founder/ Head Lab Technician 954-822-4722 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2022-03-04 |
Last Update Date | 2022-09-07 |