| NPI | 1962536870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW SOUZA Chief Financial Officer 561-848-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL CLIA 10D0914874) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 800010492) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |