| NPI | 1609166495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK POMPER Director/CEO 305-962-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL L10000104729) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |