| NPI | 1962934851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REMLAND Owner 561-809-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2109970) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |