| NPI | 1710159561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B PEARSON Owner 304-472-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D1081246) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-09 |