| NPI | 1982693818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS MILLNS Director 813-882-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800001270) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-12-17 |