| NPI | 1346365533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE NIELSEN Owner 727-522-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-04-09 |