| NPI | 1255593877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV CHANDRA Director 321-951-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL L8832) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |