BERKELEY FAMILY MEDICINA ASSOCIATES LAB (NPI# 1518028521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518028521 |
Entity Type | Organization |
Organization Name | BERKELEY FAMILY MEDICINA ASSOCIATES LAB |
Practice Address |
101 Marcley Dr Martinsburg WV 25401-2977 |
Practice Telephone | 3042638911 |
Practice Fax Number | 3042639098 |
Mailing Telephone | 3042638911 |
Mailing Fax Number | 3042639098 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2008-05-15 |
Authorized Official Name | SUMMER D MOORE (OFFICE MANAGER) |
Authorized Official Telephone | 3042638911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 51D0234567 | WV | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0011451001 | 05 | |
WV | MTN STATE GROUP # | 001709694 | 01 |
WV | RAILROAD GROUP # | C10269 | 01 |
Street Address |
101 MARCLEY DR |
City | MARTINSBURG |
State | WV |
Zip Code | 25401-2977 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366482010 | Harvey D Reisenweber | Family Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2006-06-08 |
1073096566 | East Mountain Health Physicians, Inc. | Family Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2018-09-11 |
1417496597 | Samuel Ryan Morris | Internal Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2017-02-22 |
1932440252 | Berkeley Family Medicine and Urgent Care | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2013-03-12 |
1407100860 | James Allen Payne | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2012-11-06 |
1528359825 | Candice Marie Moreland | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2011-04-21 |
1043536899 | Samuel Ryan Morris | Internal Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2010-04-19 |
1366681652 | Heather Reay Jewell | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2009-02-11 |
1275717449 | Tuyet Mai Dang Houston | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2007-12-24 |
1609974229 | Berkeley Family Medicine | Family Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2006-09-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
Find all providers in zip 25401 |
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 |
---|---|---|---|---|
1306125612 | University Hematology and Oncology | Clinical Medical Laboratory | 2008 Professional Ct, Martinsburg, WV 25401-8808 | 2011-08-04 |
1528237898 | Angela Carri Collins | Clinical Medical Laboratory | 158 Crimson Cir, Reliance Road Suite, Martinsburg, WV 25403-6611 | 2008-02-21 |
1730577206 | Quest Diagnostics Incorporated Md | Clinical Medical Laboratory | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2015-01-06 |
1053585893 | Shenandoah Laboratories, LLC | Clinical Medical Laboratory | 158 Crimson Cir, Reliance Road Suite, Martinsburg, WV 25403-6611 | 2008-04-14 |
1689735565 | Martinsburg Internal Medicine Assoc Inc | Clinical Medical Laboratory | 1002 Sushruta Drive, Martinsburg, WV 25401 | 2006-12-13 |
1942396742 | Eastern Panhandle Pediatrics, Pllc Lab | Clinical Medical Laboratory | 2000 Professional Ct, Suite C, Martinsburg, WV 25401-8758 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235784745 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1345 Mercer St, Princeton, WV 24740-3033 | 2019-08-02 |
1346892650 | West Virginia Laboratories | Clinical Medical Laboratory | 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732 | 2019-07-16 |
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 |
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City | MARTINSBURG |
Zip Code | 25401 |
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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.