Pediatric Associate
Pediatric Associate is a Clinical Medical Laboratory in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
Practice location Address checks out
11 Chenoweth Dr Ste ABridgeport, WV 26330-1675
Phone: (304) 842-5777
Fax: (304) 842-3318
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence WV11941 (WV) |
|---|
Record details
| NPI number | 1538256805 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Manzar Momen — Office Manager · (304) 842-5777 |
| NPI enumerated | October 6, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 11 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1675 |
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