| NPI | 1972989424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FREY Manager 239-789-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800027766) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-09-14 |