| NPI | 1356546659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN RESTIVO Credentialing Manager 352-241-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D1057507) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-01-20 |