| NPI | 1154103224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELITA SYKES CEO 813-848-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-18 |