| NPI | 1942716378 |
|---|---|
| Doing Business As | INNOVATED LAB TESTING |
| Entity Type | Organization |
| Authorized Contact | RANDALL ERLER CEO 904-254-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |