| NPI | 1528125705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARIOSANG M KANDAWALLA Medical Director 813-876-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D1015979) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |