| NPI | 1912371089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE ANTHONY CIRILLO President 561-309-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027325) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |