| NPI | 1861006983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURINA ALVARADO Managing Member 850-694-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-12 |