| NPI | 1407040827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKJUNG GERALD KOH Medical Director 304-256-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 51D0705082) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-09-19 |