| NPI | 1205988110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY D JURADO Business Manager 304-485-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 291U00000X) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |