| NPI | 1659794766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IACULLO Birector Of Billing 561-270-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027026) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |