| NPI | 1518906338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH DAVILA Owner 787-870-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 40D0684519) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |