| NPI | 1346442134 |
|---|---|
| Doing Business As | NORTH FORK PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMIE HUDSON CEO 304-358-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0661868) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-07-19 |