| NPI | 1962563593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BETH RAY Office Manager 304-766-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0906769) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |