| NPI | 1417960626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA VALLADARES Director, Credentialing & Pe 561-514-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001509) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-10-15 |