| NPI | 1740689793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IACULLO Director 561-270-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027187) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |