| NPI | 1831264654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SUVILLO Owner 787-758-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 40D0669530) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |