| NPI | 1568178457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK D GIDDINS President & Chief Executive Officer 850-207-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-05-24 |