GJW Medical Solutions

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GJW MEDICAL SOLUTIONS

Practice address

308 1/2 Blaine St
Fairmont, WV 26554-3906

Phone

(304) 612-8381

NPI assigned

Feb 26, 2012

Last updated

Feb 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Richard Wood

Title

Manager/Owner

Phone

(304) 612-8381

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330214400000",
    "number": "1245504018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 1/2 BLAINE ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543906",
            "telephone_number": "304-612-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 1/2 BLAINE ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543906",
            "telephone_number": "304-612-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJW MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-02-26",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "304-612-8381"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard James Gerlach, MA, NCC
• Tabatha Gibson
• Marilyn Gifford, RN
• Rachael Paige Gifford
• Kimberly Gillespie
• Alexus Glaspell
• Christopher Glaspell
• Glenn a. Boyles, DDS, Ms, PLLC
• Amanda Glover
• Elizabeth Glover

• Clinical Medical Laboratory in Fairmont, WV
• Providers in Fairmont, 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 Feb 26, 2012; 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.