Organization
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC.
Active
Other names
Shinnston Clinical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY L VANDERGRIFT (PRESIDENT)
(304) 366-0700
Entity
Organization
Contact information
Practice address
1 COLUMBIA RD, SHINNSTON, WV 26431-1016
(304) 592-1040
(304) 592-5317
Mailing address
1322 LOCUST AVE, PO BOX 1112, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 366-9529
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51D0236497
CLIA #
WV
Enumeration date
10/29/2008
Last updated
08/11/2011
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