| NPI | 1922131903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALIA M SANTAELLA Managing Director 305-448-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME44084) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL ME44084) |
| 207SM0001X Medical Genetics Molecular Genetic Pathology (Licence: FL ME44084) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME44084) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME44084) | |
| 207ZC0500X Pathology Cytopathology (Licence: FL ME44084) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: FL ME44084) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: FL ME44084) | |
| 246R00000X Technician, Pathology (Licence: FL ME44084) | |
| 246RH0600X Technician, Pathology Histology (Licence: FL ME44084) | |
| 246RM2200X Technician, Pathology Medical Laboratory (Licence: FL ME44084) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-04-08 |