| NPI | 1831222413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K JAMESON Directing Physician 304-253-5793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D1011890) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |