| NPI | 1881083467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ODETTE Director 954-909-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 291U0000X) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-12-01 |