David Lee Cancer Center Lab

LBN: Integrated Health Care Providers, Inc.
David Lee Cancer Center Lab is an health care organization with primary practice located at 3100 Maccorkle Ave Se Suite 101, 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) 388-8380, or through Goode, Jeffrey H. via phone (304) 388-7783.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Suite 101 Charleston WV 25304-1223
Phone: (304) 388-8380
Fax: (304) 388-8388
Website:
Map and Directions
Authorized official contact:
Name: Goode, Jeffrey H. PT, MBA
Phone: (304) 388-7783

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1891999801
LBN Legal business name Integrated Health Care Providers, Inc.
DBA Doing business as David Lee Cancer Center Lab
Authorized official Goode, Jeffrey H. PT, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Nov 12th, 2007 - about 17 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 1891999801 NPPES
West Virginia MEDICAID 0014092000

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