Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Renal Transplant Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
1201 WASHINGTON ST E, SUITE 100, CHARLESTON, WV 25301-1834
(304) 388-6370
(304) 388-6376
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D0940896
WV
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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