| NPI | 1811325442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WEIL CEO/President 407-375-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2021-11-03 |