| NPI | 1346249448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M FULKS President/Pathologist 304-766-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-10-11 |