| NPI | 1467996967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET JIMENEZ President 305-456-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL #11446) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |