| NPI | 1326476144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGELA WOODS President 754-779-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2055438) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |