Prime Health Associates Dba

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

51D0235381 Issued in WV

Legal business name

PRIME HEALTH ASSOCIATES DBA

Doing business as

Beaver Family Clinic (Lab)

Practice address

703 Ritter Dr
Glen Morgan, WV 25813-7709

Phone

(304) 255-1300

Fax

(304) 255-5391

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bella Zinzuwadia, M.D.NPI 1801886478

Title

Owner

Phone

(304) 255-1300

Specialties & licenses 1

Addresses

Other names 1

• Beaver Family Clinic (Lab) Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Beaver Family Clinic Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Health Associates Dba

  • Clinical Medical Laboratory
  • Crab Orchard, WV
  • NPI 1104025741
  NPD tax ID

Practitioners 1

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

• Bella N Zinzuwadia, MD

  • Internal Medicine Physician
  • Glen Morgan, WV
  • NPI 1801886478
  NPD (past) Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1063612828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258130550",
            "telephone_number": "304-255-1300",
            "fax_number": "304-255-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RITTER DR",
            "city": "GLEN MORGAN",
            "state": "WV",
            "postal_code": "258137709",
            "telephone_number": "304-255-1300",
            "fax_number": "304-255-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH ASSOCIATES DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ZINZUWADIA",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-255-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "51D0235381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver Family Clinic (Lab)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Johnson
• Klaye Lilly
• Leigh Lilly
• David Alan McCormack, DDS
• Sarah Plumley
• Prompt Care, Inc.
• Raleigh Hearing Center, Inc.
• Corinne Rice
• Sherry Ann Robinson
• Christopher Thompson, PA-C

• Clinical Medical Laboratory in Glen Morgan, WV
• Providers in Glen Morgan, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.