| NPI | 1326108903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SIBISKI Executive Dir Of Finance And Admin 352-265-8017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-10-18 |