| NPI | 1346793460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH GILL Business Associate 561-576-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800028201) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |