Cross Lanes Family Practice, Inc. (Lab)

LBN: Cross Lanes Family Practice, Inc. (Lab)
Cross Lanes Family Practice, Inc. (Lab) is an health care organization with primary practice located at 5480 Big Tyler Rd , Cross Lanes WV 25313-1116. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Cross Lanes Family Practice, Inc. (Lab) can be contacted via phone (304) 776-2409, or through Stonestreet, Gregory C via phone (304) 776-2409.

Contact Information

Primary practice address
5480 Big Tyler Rd Cross Lanes WV 25313-1116
Fax: (304) 776-2023
Website:
Authorized official contact:
Name: Stonestreet, Gregory C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X West Virginia

Profile Details

NPI number 1548347438
LBN Legal business name Cross Lanes Family Practice, Inc. (Lab)
DBA Doing business as
Authorized official Stonestreet, Gregory C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1548347438 NPPES
West Virginia MEDICAID 6701058000

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