| NPI | 1285978338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEISHA ZAFFUTO Business Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2047989) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-01-13 |