| NPI | 1174543466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA IRENE COTTER President 407-893-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 65193 CLIA) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-08-27 |