Whalio Doctors

NPI 1023186533

United Physicians Care INC

Organisation Clinical Medical Laboratory Pennsboro, WV

Practice location

Address
304 Masonic Ave, Pennsboro, WV 26415-1324
Phone
(304) 659-2986
Fax
(304) 659-2988
Mailing address
686 S Pike St STE a, Shinnston, WV 26431-1043

Authorised official

Name
John C Forester
Title
Chief Executive Officer
Phone
(304) 624-4655

Registered specialties

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence 51D0710961 (WV)

Registry record

NPI
1023186533
Entity type
Organization
NPI issued
1 Dec 2006
Record last updated
8 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.