Kanawha Pathology Associates Inc
LBN: Kanawha Pathology Associates Inc
Kanawha Pathology Associates Inc is an health care organization with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty.
Kanawha Pathology Associates Inc can be contacted via phone (304) 766-3560, or through Fulks, Robert M via phone (304) 766-3560.
Contact Information
Primary practice address
4605 Maccorkle Ave Sw
South Charleston WV 25309-1311
Phone: (304) 766-3560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1346249448 |
|---|---|
| LBN Legal business name | Kanawha Pathology Associates Inc |
| DBA Doing business as | |
| Authorized official | Fulks, Robert M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Oct 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346249448 | NPPES |
| West Virginia | MEDICAID | 0008272000 | |
| West Virginia | Other | DA0748 |
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