| NPI | 1235294034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER E LANE President 727-849-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001828) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |