| NPI | 1629740097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON STEENS Owner 407-504-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 246R00000X Technician, Pathology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-01-07 |