| NPI | 1346902616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRAVIA ANTINETTE CLAYTON Owner/Manager 786-521-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |