| NPI | 1396170924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND B JOHNSON Owner 561-575-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 8000025822) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |