Active NPI
Prime Health Associates Dba
- Clinical Medical Laboratory
- Crab Orchard, WV
National Provider Identifier
1104025741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 51D0235448
- Legal business name
- PRIME HEALTH ASSOCIATES DBA
- Doing business as
- Crab Orchard Family Healthcare (Lab)
- Practice address
- 1315 Robert C. Byrd Drive
Crab Orchard, WV 25827 - Phone
- (304) 252-0966
- Fax
- (304) 252-4615
- NPI assigned
- Jul 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bella Zinzuwadia, M.D.
- Title
- Owner
- Phone
- (304) 255-1300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 51D0235448 | WV | Primary |
Addresses
Primary practice location
1315 Robert C. Byrd Drive
Crab Orchard, WV 25827
Mailing address
PO Box 1074
Crab Orchard, WV 25827-1074
Phone (304) 252-0966
Other names 1
- Crab Orchard Family Healthcare (Lab)
National Provider Directory
National Provider Directory- Tax ID family
- Beaver Family Clinic Lab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Glen Morgan, WV
- NPI 1063612828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Glen Morgan, WV
- NPI 1801886478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1104025741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1074",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "258271074",
"telephone_number": "304-252-0966",
"fax_number": "304-252-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ROBERT C. BYRD DRIVE",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "25827",
"telephone_number": "304-252-0966",
"fax_number": "304-252-4615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HEALTH ASSOCIATES DBA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"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": "51D0235448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crab Orchard Family Healthcare (Lab)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crab Orchard, WV
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.