| NPI | 1912617903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BRENNER Chief Executive Officer 727-699-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |