| NPI | 1619180247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CROUCH Accounts Receivable 954-777-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001151) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |