| NPI | 1780836015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS E PONCE President 305-836-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL HCC4931) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2010-04-08 |