| NPI | 1154474245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M PREBECK VP Of Operations 727-581-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2079095) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-11-25 |