| NPI | 1063617728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN LAYNE General Partner 304-699-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 51D1068140) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |