| NPI | 1730687708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIS GIBSON Manger 954-214-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 871051) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |