| NPI | 1639810591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO LUIS LOMBA Owner 941-766-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |