| NPI | 1306050414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMY PUCCIO Vice President 954-426-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 80001500) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-08-28 |