| NPI | 1982604070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO CHAO President 305-592-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800019596) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-20 |