| NPI | 1558557090 |
|---|---|
| Other Name | BLUE RIDGE INTERNAL MEDICINE LAB |
| Entity Type | Organization |
| Authorized Contact | JACINDA SANTON SMITH Administrator 304-487-0232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 1804) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-07-10 |