| NPI | 1770345670 |
|---|---|
| Doing Business As | LIFESOURCE LABORATORIES |
| Entity Type | Organization |
| Authorized Contact | EMILY LOZANO Owner 305-905-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |