| NPI | 1609887033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JOSEPH BERGMANN President 813-289-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800021545) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |