| NPI | 1669883260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ACOSTA Secretary 305-200-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL ME17400) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |