| NPI | 1962546515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARUK AYDIN Medical Director 813-649-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 8000021745) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2009-04-13 |