| NPI | 1992854327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L LYONS Office Manager 304-424-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0857928) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-11-26 |