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WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION NPI 1457605404


NPI Information

NPI: 1457605404
Provider Name: WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Doing Business As: WVU OBSTETRICS & GYNECOLOGY-BRIDGEPORT

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 51D2241252

Address:
527 MEDICAL PARK DR
SUITE 108
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 848-2152
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WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION is a clinical medical laboratory in Bridgeport, WV. The provider is (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. WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION NPI is 1457605404. The provider is registered as an organization entity type.
The provider Is Doing Business As Wvu Obstetrics & Gynecology-bridgeport.

The provider's business location address is:

527 MEDICAL PARK DR
SUITE 108
BRIDGEPORT, WV
ZIP 26330-008
Phone: (304) 848-2152

The provider's authorized official is Terry D Miller .
The authorized official title is Provider Enrollment Specialist and has the following contact phone number (304) 285-7101.

The CLIA number assigned to this NPI record is 51D2241252 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory51D2012387WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10011526000MEDICAIDWEST VIRGINIA
29121131MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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