| NPI | 1386913358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY G NOAKES CEO/Owner 561-707-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL L11000093308) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |