| NPI | 1679829204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC TANNER CEO 954-889-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800026470) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |