Organization
MATOWAKAN LABORATORIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J. GODFREY MD (PRESIDENT)
(304) 485-6563
Entity
Organization
Contact information
Practice address
1824 MURDOCH AVE, PARKERSBURG, WV 26101-3230
(304) 485-6563
(304) 485-4466
Mailing address
PO BOX 779, PARKERSBURG, WV 26102-0779
(304) 485-6563
(304) 485-4466
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
—
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
WV
Other
Enumeration date
03/21/2007
Last updated
07/21/2022
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