| NPI | 1184597098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA BENCOSME Owner/Plebotomist 239-328-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291900000X Military Clinical Medical Laboratory |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |