| NPI | 1205890522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J.D. LOOKADOO Laboratory Director 772-337-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800000478) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |