| NPI | 1063602084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BROOKINS TAYLOR President 304-325-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 08251) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |