| NPI | 1689652216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA VALLADARES Director, Credentialing And Pe 561-514-5822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: SC 14814) |
| 291U00000X Clinical Medical Laboratory (Licence: GA 052853) | |
| 291U00000X Clinical Medical Laboratory (Licence: AL 00024917) | |
| 291U00000X Clinical Medical Laboratory (Licence: NC 33767) | |
| 291U00000X Clinical Medical Laboratory (Licence: NY PFI8422) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2018-05-23 |