| NPI | 1629469077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL VP, Administrative Director 954-256-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2068839) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2017-04-03 |