| NPI | 1770881112 |
|---|---|
| Doing Business As | GCMG-DIAGNOSIC CENTER/LAB |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2012-11-27 |