| NPI | 1194067975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IACULLO Office Manager 561-715-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2053722) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |