NPI | 1407555097 |
---|---|
Former Legal Business Name | PHOENIX DIAGNOSTICS LLC |
Former Legal Business Name | PHOENIX MOLECULAR LLC |
Entity Type | Organization |
Authorized Contact | MATTHEW SWEETWOOD President 561-612-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2023-03-02 |
Last Update Date | 2025-09-29 |