| NPI | 1295279685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P. TROLICE Director 407-672-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL ME78893) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |