| NPI | 1174558431 |
|---|---|
| Other Name | DOH BUREAU OF LABS-CENTRAL LAB JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | AURORA GROSPE Accountant I Billing Manager 904-791-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800000296) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-03-25 |