| NPI | 1356326409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIAN S SANTANA President 352-536-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027066) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-06-13 |