| NPI | 1548347438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C STONESTREET President 304-776-2409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0943510) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |