| NPI | 1245333202 |
|---|---|
| Doing Business As | FAIRMONT CLINICAL LAB |
| Entity Type | Organization |
| Authorized Contact | NANCY L VANDERGRIFT President 304-366-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-08-11 |