| NPI | 1972044857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. HUGH GREENE President And CEO 904-202-4011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800000149) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |