| NPI | 1720224009 |
|---|---|
| Doing Business As | FAIRVIEW CLINICAL LAB |
| Entity Type | Organization |
| Authorized Contact | NANCY L. VANDERGRIFT President 304-368-8740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |