| NPI | 1063612828 |
|---|---|
| Doing Business As | BEAVER FAMILY CLINIC (LAB) |
| Entity Type | Organization |
| Authorized Contact | BELLA ZINZUWADIA Owner 304-255-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0235381) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-06-26 |