| NPI | 1871633727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH LYNN HAMRICK Administrator 304-226-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 035736) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-01-21 |