| NPI | 1700457801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE THERESA PARKER Partial Owner 954-994-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |