| NPI | 1487657573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE TROUT President 954-777-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D-0964885) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 10D0964885) |
| 291U00000X Clinical Medical Laboratory | |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800014878) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-07-03 |