| NPI | 1295260974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY A PICILLO Billing Manager 954-234-2469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2128247) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |