| NPI | 1558616870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS C WHELER Owner/Operator 407-702-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2030221) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |