| NPI | 1194729665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM D JAGERNAUTH Manager 727-521-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC5616) |
| Enumeration Date | 2005-06-12 |
| Last Update Date | 2007-09-18 |