| NPI | 1265668768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSEIN BROUMAND ABBASSI Director 304-720-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 2225-3218) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |