| NPI | 1609546837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITHA WASHINGTON-MCFARLEY Owner/Administrator 904-947-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2023-11-30 |