Organization Active NPI

West Virginia Drug Testing Laboratories Inc

  • Clinical Medical Laboratory
  • Ronceverte, WV
National Provider Identifier
1093091936
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WEST VIRGINIA DRUG TESTING LABORATORIES INC
Practice address
147 Main St W
Ronceverte, WV 24970-1259
Phone
(304) 647-1389
Fax
(304) 647-1397
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Jeffrey J. Williams
Title
Officer
Phone
(304) 422-8570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

147 Main St W
Ronceverte, WV 24970-1259

Mailing address

PO Box 1385
Parkersburg, WV 26102-1385
Phone (304) 422-3915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000111 WV Part B Supplier - Independent Clinical Laboratory 5294919478 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parkersburg, WV; Princeton, WV; Ronceverte, WV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
West Virginia Drug Testing Laboratories Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

147 Main St W
Ronceverte, WV 24970
Phone (304) 647-1389

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1093091936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261021385",
            "telephone_number": "304-422-3915",
            "fax_number": "304-485-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MAIN ST W",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701259",
            "telephone_number": "304-647-1389",
            "fax_number": "304-647-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA DRUG TESTING LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "304-422-8570"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.