| NPI | 1538256805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANZAR MOMEN Office Manager 304-842-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV wv11941) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |