| NPI | 1740315449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARUK AYDIN Medical Director 813-649-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001938) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-05-09 |