| NPI | 1508481904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA N MELARAM COO 321-536-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |