| NPI | 1972142909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGITHY ORDONEZ Medical Laboratory Technologist 941-228-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2021-08-10 |