| NPI | 1184158826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY PICILLO Office Manager 954-234-2469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21D2127826) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |