Morgantown Internal Medicine Group INC Laboratory
Clinical Medical Laboratory in Morgantown, WV. Organization (NPI-2).
NPI number1104038017
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104038017
- Entity type
- Organization (NPI-2)
- Legal business name
- Morgantown Internal Medicine Group INC Laboratory
- Organization subpart
- No
- Enumeration date
- May 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | WV | Yes |
Practice location
300 Wedgewood DriveMorgantown, WV 26505
Phone 304-599-8802 · Fax 304-599-5607
Mailing address
300 Wedgewood DriveMorgantown, WV 26505
Phone 304-599-8802 · Fax 304-599-5607
Authorized official
Vickie L Silbaugh
Supervisor
3045998802
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