Premier Medical Group Lab

LBN: Premier Medical Group, Inc.
Premier Medical Group Lab is an health care organization with primary practice located at 200 Route 98 W St Ste 103, Nutter Fort WV 26301-4385. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Premier Medical Group, Inc. can be contacted via phone (304) 623-1330, or through Stackpole, Ronald via phone (304) 623-1330.

Contact Information

Primary practice address
200 Route 98 W St Ste 103 Nutter Fort WV 26301-4385
Phone: (304) 623-1330
Fax: (304) 623-1333
Website:
Map and Directions
Authorized official contact:
Name: Stackpole, Ronald
Phone: (304) 623-1330

Health care specialties

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

Profile Details

NPI number 1942479084
LBN Legal business name Premier Medical Group, Inc.
DBA Doing business as Premier Medical Group Lab
Authorized official Stackpole, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2008
Last updated Apr 20th, 2008 - 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 1942479084 NPPES
West Virginia MEDICAID 0038573000

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