| NPI | 1821409756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE GARI Chief Administrative Officer 813-549-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2025-09-20 |