| NPI | 1215260989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY HOLMLUND President 727-443-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D1103202) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |