| NPI | 1225212137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH MONTGOMERY Sr.Mgr. Regulatory/Reimbursement 407-661-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 20461501) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |