| NPI | 1407963390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JEAN WHITLOCK Director 787-744-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 208) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |