| NPI | 1326211707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO F MIRO Administrator 407-348-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800024962) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-10-21 |