Med Ex Pllc
NPI #1316350556 in Ravenswood, West Virginia
Provider Information
- NPI Number
- 1316350556
- Entity Type
- Organization
- Organization Name
- Med Ex Pllc
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jun 5, 2014
- Last Updated
- Jun 5, 2014
Practice Location
- Address
- 705 WASHINGTON ST
- City
- Ravenswood
- State
- West Virginia
- ZIP Code
- 26164-1729
- Phone
- (304) 868-6000
Authorized Official
- Name
- RICHARD JAY BLACKBURN, DO
- Title
- OWNER
- Phone
- (304) 868-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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