| NPI | 1710066105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI L MARTINEZ President 954-865-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 321-0003140) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2020-08-22 |