| NPI | 1720662125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN GOULD Owner 786-596-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |