| NPI | 1265860522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IACULLO Billing Director 561-270-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2063192) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |