| NPI | 1699827626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY SANTER, JR Physician 304-424-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0950015) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |