| NPI | 1154859825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO RASS Owner 954-496-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800028702) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |