| NPI | 1760743090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA W COULTER Director Of Laboratory Operations 276-525-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D2042544) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2014-05-06 |