| NPI | 1508101007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK NAGRANI President 386-423-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800020973) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |