Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
Urology Center Memorial Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 408, CHARLESTON, WV 25304-1223
(304) 388-5280
(304) 388-5291
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D2006880
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51D2006880
CLIA NUMBER
WV
Enumeration date
05/11/2010
Last updated
09/07/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us