| NPI | 1154906923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE OSWALD Owner/Phlebotomist 941-735-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2021-03-13 |
| Last Update Date | 2023-09-06 |