| NPI | 1184862765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP RUIZ Director 305-243-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001596) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-07-10 |