| NPI | 1417264011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA OWEN Vice President 352-536-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2009723) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2024-03-20 |