| NPI | 1114363207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN D COOPER Owner/President 614-273-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 61056) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |