| NPI | 1659751246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PIPER Manager 813-390-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027166) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |