WVUPC KANAWHA VALLEY FP (LAB) (NPI# 1326256124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326256124 |
| Entity Type | Organization |
| Organization Name | WVUPC KANAWHA VALLEY FP (LAB) |
| Practice Address |
401 Division St Suite 205 South Charleston WV 25309-1455 |
| Mailing Address |
Po Box 7000 Morgantown WV 26507-7000 |
| Practice Telephone | 3042935033 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 3042935033 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY D MILLER (PROVIDER RELATIONS ANALYST) |
| Authorized Official Telephone | 3042935033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 6705036000 | WV | Laboratories |
| Street Address |
401 DIVISION ST SUITE 205 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741880 | Narender Rao Jogenpally | Internal Medicine | 401 Division St, Ste 100, South Charleston, WV 25309-1455 | 2005-06-21 |
| 1144770157 | Katrina Walker | Nurse Practitioner | 401 Division St, Suite 205, South Charleston, WV 25309-1455 | 2016-10-13 |
| 1427480953 | South Charleston Family Medicine | Family Medicine | 401 Division St, Ste 205, South Charleston, WV 25309-1455 | 2013-08-07 |
| 1437407376 | Summit Orthopedics | Specialist | 401 Division St, Suite 104, South Charleston, WV 25309-1455 | 2012-08-27 |
| 1578839957 | Tara Melgary Hansen | Radiology | 401 Division St, South Charleston, WV 25309-1455 | 2012-03-29 |
| 1124274303 | John Ponugupati | Internal Medicine | 401 Division St, Suite 100, South Charleston, WV 25309-1455 | 2008-08-07 |
| 1780800110 | Nicole Wiley | Family Medicine | 401 Division St, Suite 205, South Charleston, WV 25309 | 2007-04-17 |
| 1659419653 | Bali Surgical Practice Pllc | Surgery | 401 Division St, Suite 202, South Charleston, WV 25309-1455 | 2007-02-02 |
| 1548314230 | Kuruvilla John, Md, Inc. | Psychiatry & Neurology | 401 Division St, Suite 104, South Charleston, WV 25309-1455 | 2007-01-22 |
| 1467522185 | Elma Z Bernardo Md and Associates Inc | Psychiatry & Neurology | 401 Division St, Suite 203, South Charleston, WV 25309-1455 | 2006-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346892650 | West Virginia Laboratories | Clinical Medical Laboratory | 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732 | 2019-07-16 |
| 1306112867 | Lab One of Ohio Inc | Clinical Medical Laboratory | 4610 Kanawha Sw, South Charleston, WV 25309-0000 | 2012-03-29 |
| 1568547651 | Wvdhhr/office of Laboratory Services | Clinical Medical Laboratory | 167 11th Ave, South Charleston, WV 25303-1114 | 2006-10-26 |
| 1003290644 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4803 Kentucky St, South Charleston, WV 25309-1309 | 2015-07-14 |
| 1902045776 | Integrated Health Care Providers, Inc. | Clinical Medical Laboratory | 301 Rhl Boulevard, Suite 3, Southridge Health Plus, South Charleston, WV 25309 | 2009-02-18 |
| 1407079304 | South Charleston Cardiodiagnostics | Clinical Medical Laboratory | 428 Division St, 1st Floor, South Charleston, WV 25309-1469 | 2007-04-10 |
| 1144327685 | Arvind B Shah Md Inc | Clinical Medical Laboratory | 401 Division St, Site # 100, South Charleston, WV 25309-1455 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784745 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1345 Mercer St, Princeton, WV 24740-3033 | 2019-08-02 |
| 1831674084 | Appalachian Labs of Wv LLC | Clinical Medical Laboratory | 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 | 2018-10-03 |
| 1720567241 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 | 2018-08-07 |
| 1245765684 | Bds Healthcare LLC | Clinical Medical Laboratory | 1451 Earl L Core Rd, Morgantown, WV 26505-0314 | 2017-04-24 |
| 1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
| 1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
| 1629520853 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344 | 2016-11-04 |
| 1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
| 1811443302 | Reality Check Drug Testing | Clinical Medical Laboratory | 550 N Eisenhower Dr, Beckley, WV 25801-3109 | 2016-08-25 |
| 1154747442 | Mountain State Medical Specialties,inc. | Clinical Medical Laboratory | 120 Medical Park Dr Ste 101, Bridgeport, WV 26330-9013 | 2014-03-11 |
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| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.