| NPI | 1629520853 |
|---|---|
| Doing Business As | MOUNTAINEER TOXICOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES TODD BOWEN Owner 304-593-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2017-01-10 |