Appalachian Family Medicine Lab

LBN: Appalachian Family Medicine Lab
Appalachian Family Medicine Lab is an health care organization with primary practice located at 104 Station Place Way , Hurricane WV 25526-8747. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Appalachian Family Medicine Lab can be contacted via phone (304) 757-7788, or through Dicristofaro, Sean C via phone (304) 757-7788.

Contact Information

Primary practice address
104 Station Place Way Hurricane WV 25526-8747
Phone: (304) 757-7788
Fax: (304) 201-1140
Website:
Map and Directions
Authorized official contact:
Name: Dicristofaro, Sean C Doctor of Medicine (MD)
Phone: (304) 757-7788

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1548450174
LBN Legal business name Appalachian Family Medicine Lab
DBA Doing business as
Authorized official Dicristofaro, Sean C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548450174 NPPES
West Virginia MEDICAID 5630468003

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