Organization Active NPI

Shenandoah Laboratories, LLC

  • Clinical Medical Laboratory
  • Martinsburg, WV
National Provider Identifier
1053585893
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHENANDOAH LABORATORIES, LLC
Practice address
158 Crimson Cir
Reliance Road Suite
Martinsburg, WV 25403-6611
Phone
(304) 262-4757
Fax
(304) 262-4759
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine M Twyford-Ziebke
Title
Owner
Phone
(304) 262-4757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

158 Crimson Cir
Reliance Road Suite
Martinsburg, WV 25403-6611

Mailing address

158 Crimson Cir
Reliance Road Suite
Martinsburg, WV 25403-6611
Phone (304) 262-4757

National Provider Directory

National Provider Directory

Locations

158 Crimson Cir
Ste 2
Martinsburg, WV 25403
Phone (304) 262-4757

158 Crimson Cir
Martinsburg, WV 25403
Phone (304) 262-4757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1053585893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CRIMSON CIR",
            "address_2": "RELIANCE ROAD SUITE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036611",
            "telephone_number": "304-262-4757",
            "fax_number": "304-262-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CRIMSON CIR",
            "address_2": "RELIANCE ROAD SUITE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036611",
            "telephone_number": "304-262-4757",
            "fax_number": "304-262-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "TWYFORD-ZIEBKE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-262-4757"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.