| NPI | 1508169145 |
|---|---|
| Former Legal Business Name | AFFIRMATOX, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW RYAN LUND President 239-269-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |