| NPI | 1790109742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L KITCHEN Member 954-800-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027078) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |