Organization
OHIO VALLEY MEDICAL QUICKCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY D JURADO (BUSINESS MANAGER)
(304) 485-2700
Entity
Organization
Contact information
Practice address
517 36TH ST, PARKERSBURG, WV 26101-1006
(304) 485-1044
(304) 422-1861
Mailing address
417 GRAND PARK DR, SUITE 103, PARKERSBURG, WV 26105-4049
(304) 485-2700
(304) 485-0481
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
291U00000X
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019701002
—
OH
05
—
0019701003
—
WV
05
—
2208891
—
OH
05
—
2242433
—
WV
Enumeration date
01/18/2007
Last updated
08/22/2020
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