| NPI | 1184673840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANWAR KHAFAGE President 787-750-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1105) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-06-17 |