| NPI | 1497950067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M FARRY Owner 304-472-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 037856) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |