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Pathology Laboratory For Translational-Uha

Clinical Medical Laboratory in Morgantown, WV. Organization (NPI-2).

NPI number1164670873
StatusActive
Last updated in NPPESJun 25, 2009

Details

NPI
1164670873
Entity type
Organization (NPI-2)
Legal business name
Pathology Laboratory For Translational-Uha
Organization subpart
Yes
Enumeration date
Sep 5, 2008
Last updated
Jun 25, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory51D1013450WVYes

Practice location

2189 Health Science Center North Rm 2124
Morgantown, WV 26506

Phone 304-598-4800 · Fax 304-293-6963

Mailing address

Po Box 897
Morgantown, WV 26507-0897

Phone 304-293-7401 · Fax 304-293-6963

Authorized official

Terry D Miller
Provider Relations Analyst
3042935033

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