| NPI | 1851650832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MITCHELL BRAGER Member 304-842-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 22666412) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |