NPI 1336357094

Wvupc Medicine Clinic (lab)

Organisation Clinical Medical Laboratory Charleston, WV

Practice location

Address: 3200 Maccorkle Ave SE, Charleston, WV 25304-1227
Phone: (304) 293-5033
Fax: (304) 293-6963
Mailing address: PO Box 7000, Morgantown, WV 26507-7000

Authorised official

Name: Terry Miller
Title: Provider Relations Analyst
Phone: (304) 293-5033

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 6705138000 (WV)

Other Clinical Medical Laboratory providers in West Virginia →

Registry record

NPI: 1336357094
Entity type: Organization
NPI issued: 18 May 2007
Record last updated: 22 Aug 2020

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.