| NPI | 1558409730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HIRSBRUNNER Chief Executive Officer 863-680-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800000227) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-03-01 |