Organization
VITAS LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOOLEY (OWNER/ CHIEF OF OPERATION)
(479) 434-5643
Entity
Organization
Contact information
Practice address
5487 COUNTRY CLUB RD, GRAFTON, WV 26354-8762
(479) 434-5643
(479) 434-5647
Mailing address
5487 COUNTRY CLUB RD, GRAFTON, WV 26354-8762
(479) 434-5643
(479) 434-5647
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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