| NPI | 1639190523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANO DE SOCARRAZ C.E.O. 786-338-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D0995720) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |