| NPI | 1548279227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALMA M HAIDAR President 305-269-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800020757) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-07-30 |