| NPI | 1669595815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SVEN LARSON President 304-253-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 12240) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |