| NPI | 1225383326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SMITH Billing Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027129) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2014-07-07 |