| NPI | 1093956104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H. GOODE President 304-388-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D1005617) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |