NPI | 1205933421 |
---|---|
Former Legal Business Name | KANAWHA SURGICENTER LAB |
Entity Type | Organization |
Authorized Contact | GORLI HARISH Director 304-925-6390 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 10453) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |