| NPI | 1295823540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MARTIN President 954-919-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001801) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 80021538) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-04-25 |