| NPI | 1942301197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY A PERCH CEO 239-437-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001932) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-04-15 |