| NPI | 1265278634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLIKKITA ESSART Lab Director 239-910-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-05 |