| NPI | 1407064132 |
|---|---|
| Doing Business As | WVUPC FAMILY MED CTR OF CHAS (LAB) |
| Entity Type | Organization |
| Authorized Contact | TERRY MILLER Provider Relations Analyst 304-293-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 6705038000) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-19 |