| NPI | 1427149558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF HASSANEIN Medical Director 352-430-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800017685) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-08-27 |