Organization
UHA, WVU URGENT CARE LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HENSON (CORPORATE SUPERVISOR)
(304) 293-5033
Entity
Organization
Contact information
Practice address
1075 VAN VOORHIS RD, SUITE 100 SUNCREST EXECUTIVE PLAZA, MORGANTOWN, WV 26505-3586
(304) 599-2273
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D1072489
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011526000
—
WV
Enumeration date
05/09/2008
Last updated
05/09/2008
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