| NPI | 1972770931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA HENSON Corporate Supervisor 304-293-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D1072489) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |