| NPI | 1679403398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL LARA CEO 786-557-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2026-05-22 |
| Last Update Date | 2026-05-22 |