| NPI | 1770081507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MESA President 305-220-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800023191) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2020-06-19 |