| NPI | 1376599530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COOLEY G PANTAZIS Director 352-372-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800021376) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-10-04 |