Organization
WEST VIRGINIA DRUG TESTING LABORATORIES,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B JESSEE (EXECUTIVE DIRECTOR)
(304) 487-8485
Entity
Organization
Contact information
Practice address
108 S WALKER ST, PRINCETON, WV 24740-2745
(304) 487-8485
Mailing address
108 S WALKER ST, PRINCETON, WV 24740-2745
(304) 487-8485
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D1086270
WV
Other
Enumeration date
09/13/2016
Last updated
11/17/2016
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