| NPI | 1558550061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE DOMINGUEZ President 321-795-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL 800021486) |
| Enumeration Date | 2007-10-21 |
| Last Update Date | 2023-09-26 |