| NPI | 1588390785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKEDA BLAKE Owner 305-741-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2025-07-02 |