| NPI | 1245302009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. GRATTENDICK Vice President 561-626-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0898222) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-08-01 |