Organization
PATHOLOGY LABORATORY FOR TRANSLATIONAL-UHA
Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
TERRY D MILLER (PROVIDER RELATIONS ANALYST)
(304) 293-5033
Entity
Organization
Contact information
Practice address
2189 HEALTH SCIENCE CENTER NORTH RM 2124, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D1013450
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011526000
—
WV
01
—
51D1013450
CLIA
—
Enumeration date
09/05/2008
Last updated
06/25/2009
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