Wvupc Pediatrics Lab

NPI #1013125590 in Morgantown, West Virginia

Provider Information

NPI Number
1013125590
Entity Type
Organization
Organization Name
Wvupc Pediatrics Lab
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
WEST 830 PENNSYLVANIA AVE
Address 2
SUITE 103
ZIP Code
25302-0000
Phone
(304) 293-5033

Authorized Official

Name
TERRY D MILLER
Title
PROVIDER RELATIONS ANALYST
Phone
(304) 293-5033

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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