| NPI | 1285957951 |
|---|---|
| Former Legal Business Name | COLLECTAWAY LLC |
| Entity Type | Organization |
| Authorized Contact | SHARON HOLLIS COO 561-855-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800025714) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2012-03-12 |