| NPI | 1508241936 |
|---|---|
| Doing Business As | CONQUEST LABORATORIES |
| Entity Type | Organization |
| Authorized Contact | DWAYNE COOMBS CEO 954-805-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL C5Q7D6S2) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |