| NPI | 1639593858 |
|---|---|
| Doing Business As | TESORO LAB |
| Entity Type | Organization |
| Authorized Contact | JOSEPH J KATTA Chief Officer 772-595-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 047323) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |