NPI | 1013096171 |
---|---|
Entity Type | Organization |
Authorized Contact | JODIE B DOUGLAS Office Manager Billing Manager 304-720-7870 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 05800732) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |