| NPI | 1649617507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL A GONZALEZ CEO 1787-854-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 567) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2024-05-08 |