| NPI | 1457830978 |
|---|---|
| Other Name | PINEVILLE CHILDRENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM HARRIS Credentialing /Billing Coord. 304-448-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0233700) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |