| NPI | 1265502520 |
|---|---|
| Other Name | MGA LAB |
| Entity Type | Organization |
| Authorized Contact | KAREN E LINES Practice Administrator 740-374-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 03-A-07377-02) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-01-22 |