| NPI | 1528841970 |
|---|---|
| Doing Business As | AMAXILAB |
| Entity Type | Organization |
| Authorized Contact | ILIA KUDOSHIN Owner 786-790-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |