| NPI | 1245291798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KENNEDY President 772-398-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800017356) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-10-13 |