| NPI | 1609270610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A CHOY Office Manager 239-591-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027001) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |