| NPI | 1306240171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED S HUSSAIN President 904-647-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027316) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |