| NPI | 1891027058 |
|---|---|
| Other Name | UROLOGICAL SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY H. GOODE President 304-388-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |