| NPI | 1033162359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BESS Physician/Operator 304-788-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 028240) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |