| NPI | 1942680459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DEE SWEENEY Owner 941-518-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D2095287) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |