| NPI | 1407013493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALAH ANTAR Medical Director 813-985-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800023384) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-10-06 |