| NPI | 1376809426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNA P KANURI Mgrm 352-597-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 8000015297) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |