| NPI | 1417909433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL HERNANDEZ President 305-805-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800016264) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-11-26 |