NPIMap

Organization Active NPI

Wheeling Hospital, Inc.

  • Clinical Medical Laboratory
  • Wheeling, WV
National Provider Identifier
1407077795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WHEELING HOSPITAL, INC.
Practice address
1 Medical Park
Wheeling, WV 26003-6379
Phone
(304) 243-3000
Fax
(304) 243-3060
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James B Murdy
Title
Cfo
Phone
(304) 243-3681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1 Medical Park
Wheeling, WV 26003-6379

Mailing address

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

Other identifiers 1

IdentifierTypeStateIssuer
3810008415MedicaidWV

Other names 1

  • Pediatric Associates Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0235691Wheeling Hospital Laboratory1 Medical Park, Wheeling, WV 26003AccreditationFeb 27, 2027
51D0703286Angelo Georges of Wheeling Hospital1 Medical Park Tower 5 Suite 70, Wheeling, WV 26003Certificate of waiverAug 31, 2026
51D0939100Wheeling Hospital Dept of Nursing1 Medical Park, Wheeling, WV 26003Certificate of waiverJan 20, 2028
51D0956332Wheeling Hospital1 Medical Park Labor and Delivery, Wheeling, WV 26003Provider-performed microscopyJul 26, 2027
51D1086340Schiffler Oncology of Wheeling Hospital1 Medical Park Suite 304, Wheeling, WV 26003Certificate of waiverJul 9, 2026
51D2070627Vitalant Transf SVCS- Wheeling1 Medical Park, Wheeling, WV 26003AccreditationDec 26, 2027
51D2100204Wvu Medicine Wheeling Hospital1 Medical Park Radiology, Wheeling, WV 26003Certificate of waiverAug 10, 2027
51D2194045Kate Kochenbach MD / Wheeling Hospital1 Medical Park Tower 5 702, Wheeling, WV 26003Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Wheeling Hospital29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407077795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3000",
            "fax_number": "304-243-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3000",
            "fax_number": "304-243-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELING HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-243-3681"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008415",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Associates Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.