| NPI | 1417254269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M WILLIAMAS CEO 561-899-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2016961) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |