| NPI | 1972113587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA VALLADARES Director, Payer Enrollment 561-514-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |