| NPI | 1225432867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYADA AL HUSSAINI Mgr 386-795-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027387) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |