| NPI | 1124205851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN RHODES Office Manager 304-372-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D1070694) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |