| NPI | 1891380853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMLY VALMYR Administrator 954-505-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 305S00000X Point of Service | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2024-04-26 |