| NPI | 1598970618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MICHAEL LUTON CEO 772-567-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800006678) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-03-01 |