| NPI | 1639362510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD FREDRICH President 561-752-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D1070440) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |