| NPI | 1396346482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYAN A GRAHAM Owner 954-546-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-09-03 |