| NPI | 1043511801 |
|---|---|
| Other Name | RENAL TRANSPLANT LABORATORY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY H. GOODE President 304-388-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0940896) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |