| NPI | 1609096452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIE SWISHER Office Manager 304-884-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0976783) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |