Organization
UHA-PATHOLOGY
Active
Parent organization
WEST VIRGININA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGININA UNIVERSITY MEDICAL CORPORATION
Authorized official
ROBYN MCDANIEL (PROVIDER RELATIONS SUPERVISOR)
(304) 293-5033
Entity
Organization
Contact information
Practice address
1 MED CENTER DRIVE, WEST VIRGINIA UNIVERSITY HOSP-CLINICAL LAB, MORGANTOWN, WV 26506
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011526000
—
WV
Enumeration date
12/03/2008
Last updated
10/14/2009
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