| NPI | 1609881572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MANUEL VALLEJO President 305-231-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800018666) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |