| NPI | 1558598011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J PATTON Director 304-345-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 2227-2799) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |