| NPI | 1821328048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA LUCIA MARTINEZ Owner/Manager 786-223-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |