| NPI | 1699031880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK C JAWITZ President 941-755-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL ME44267) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-09 |