| NPI | 1285899567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BALLARD COO 304-772-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D1076445) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2012-01-23 |