| NPI | 1285271304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HOLLOWAY Owner/Operator 941-545-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2020-01-22 |