| NPI | 1518145259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARY RENDON President 352-787-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL applied for) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-12-04 |