| NPI | 1457179335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMPARO RODRIGUEZ NIEVES Owner 813-812-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246QL0900X Spec/Tech, Pathology, Laboratory Management |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-05-08 |