| NPI | 1396157608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND J DIIULIO CEO 954-320-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2066186) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |