| NPI | 1912218215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK X CID CEO 561-866-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2005120) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2013-02-14 |