Urology Center Memorial Lab

LBN: Integrated Health Care Providers, Inc.
Urology Center Memorial Lab is an health care organization with primary practice located at 3100 Maccorkle Ave Se Suite 408, Charleston WV 25304-1223. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Integrated Health Care Providers, Inc. can be contacted via phone (304) 388-5280, or through Goode, Jeffrey H. via phone (304) 388-7782.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Suite 408 Charleston WV 25304-1223
Phone: (304) 388-5280
Fax: (304) 388-5291
Website:
Map and Directions
Authorized official contact:
Name: Goode, Jeffrey H. MBA
Phone: (304) 388-7782

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 51D2006880 West Virginia

Profile Details

NPI number 1891013108
LBN Legal business name Integrated Health Care Providers, Inc.
DBA Doing business as Urology Center Memorial Lab
Authorized official Goode, Jeffrey H. MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2010
Last updated Sep 7th, 2010 - about 14 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 1891013108 NPPES
West Virginia Other 51D2006880 CLIA NUMBER

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