| NPI | 1265634059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE HUDSON CEO 304-358-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0872802) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-07-19 |