| NPI | 1275727547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M HENSON Corporate Supervisor 304-293-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D1063492) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |