| NPI | 1841280815 |
|---|---|
| Doing Business As | PATH LAB FORT MYERS |
| Entity Type | Organization |
| Authorized Contact | ROBERT P GASPARINI President 239-768-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 8000019289) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 8000017185) |
| 291U00000X Clinical Medical Laboratory (Licence: FL CLIA10D1023653) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2008-05-29 |