| NPI | 1962740878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS FERRIELL Owner 561-319-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2025277) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |