NPI 1053437327
Matowakan Laboratories INC.
Practice location
- Address
- 1824 Murdoch Ave, Parkersburg, WV 26101-3230
- Phone
- (304) 485-6563
- Fax
- (304) 485-4466
- Mailing address
- PO Box 779, Parkersburg, WV 26102-0779
Authorised official
- Name
- Larry J. Godfrey
- Title
- President
- Phone
- (304) 485-6563
Registered specialties (2)
Anatomic Pathology & Clinical Pathology Physician
Primary
Forensic Pathology Physician
Registry record
- NPI
- 1053437327
- Entity type
- Organization
- NPI issued
- 21 Mar 2007
- Record last updated
- 21 Jul 2022
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.