| NPI | 1871874974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE E DOMINGUEZ President 321-795-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL ME 48985) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2014-12-18 |