| NPI | 1689888430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTHELLO REGAL REPUYAN President 740-454-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: OH 35041605) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-06-16 |