| NPI | 1922581750 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROSEMERY ESTEVEZ Credentialialing Manager 786-262-4343 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2018-09-07 | 
| Last Update Date | 2018-09-07 |