| NPI | 1730840653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDOCHEE MONESTIME Credentialing Specialist 786-328-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-04 |