| NPI | 1386615730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DELIGDISH Board Member 321-727-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800017966) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-05-21 |