Organization
WOOD HEALTH CARE CLINIC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY K WOOD D.O. (OWNER)
(304) 845-2893
Entity
Organization
Contact information
Practice address
1307 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-2316
(304) 845-2893
(304) 845-2624
Mailing address
1307 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-2316
(304) 845-2893
(304) 845-2624
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D0235758
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008910001
—
WV
Enumeration date
02/10/2015
Last updated
07/07/2020
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