Organization
LUNGCENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN THEODORE SALUDES MD (OWNER)
(304) 843-5041
Entity
Organization
Contact information
Practice address
426 8TH ST, ROOM 305, GLEN DALE, WV 26038-1451
(304) 843-5041
(304) 845-4586
Mailing address
PO BOX 6244, WHEELING, WV 26003-0722
(304) 843-5041
(304) 845-4586
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18009
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076373000
—
WV
05
—
0941020
—
OH
01
—
9345581
MEDICARE ID
OH
01
—
9345582
MEDICARE ID
WV
Enumeration date
05/25/2007
Last updated
04/14/2016
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