| NPI | 1205210630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JOHNSON CEO 561-503-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027597) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |