| NPI | 1598182297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JOHNSTON Director Of Business Operations 954-980-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |