| NPI | 1720103013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW QUEEN Mgr 561-989-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800019305) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-03-04 |