| NPI | 1831647403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B JESSEE Executive Director 304-487-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D1086270) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-11-17 |