| NPI | 1689412827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A ORLOV Senior Director Of Credentialing 606-638-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |