| NPI | 1689735565 |
|---|---|
| Doing Business As | MARTINSBURG INTERNAL MEDICINE LAB |
| Entity Type | Organization |
| Authorized Contact | JESSE B JALAZO President 304-263-0913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |