| NPI | 1255189502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP, Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
| 207ZC0006X Pathology Clinical Pathology | |
| 207ZD0900X Pathology Dermatopathology | |
| 207ZH0000X Pathology Hematology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 2086S0129X Surgery Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| 207N00000X Dermatology | |
| 207ND0900X Dermatology Dermatopathology | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2025-03-25 |