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 |