NPI 1093956104

Integrated Health Care Providers, INC.

Organisation Clinical Medical Laboratory Charleston, WV

Practice location

Address: 830 Pennsylvania Ave Suite 302, Charleston, WV 25302-3302
Phone: (304) 388-2950
Fax: (304) 388-2951
Mailing address: 415 Morris St Suite 304, Charleston, WV 25301-1842

Authorised official

Name: Jeffrey H. Goode
Title: President
Phone: (304) 388-7784

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 51D1005617 (WV)

Other Clinical Medical Laboratory providers in West Virginia →

Registry record

NPI: 1093956104
Entity type: Organization
NPI issued: 19 Mar 2009
Record last updated: 19 Mar 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.