| NPI | 1952998585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORAIMIS RODRIGUEZ Owner 786-310-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2024-07-25 |