| NPI | 1992528129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEKEA SANDERS Owner/Authorized Member 904-686-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |