| NPI | 1881677441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN WILLIAM AUSTIN President 407-841-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL L800000126) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2012-04-18 |