Organization
AMERICAN CYTOPATHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODIE B DOUGLAS (OFFICE MANAGER BILLING MANAGER)
(304) 720-7870
Entity
Organization
Contact information
Practice address
1301 DUNBAR AVENUE, DUNBAR, WV 25064-2920
(304) 720-9791
(304) 720-9794
Mailing address
1301 DUNBAR AVENUE, DUNBAR, WV 25064-2920
(304) 720-9791
(304) 720-9794
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05800732
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000017
—
WV
Enumeration date
11/02/2006
Last updated
08/22/2020
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