| NPI | 1184698086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J BULSON President 727-545-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800014408) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-06-15 |