| NPI | 1407226350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA D SALAZAR Office Manager 786-464-0749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800026999) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2025-03-13 |