| NPI | 1346641875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO SKULAS Owner (CFO) 954-380-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2079549) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-06-16 |