Berkeley Family Medicina Associates Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

51D0234567 Issued in WV

Legal business name

BERKELEY FAMILY MEDICINA ASSOCIATES LAB

Practice address

101 Marcley Dr
Martinsburg, WV 25401-2977

Phone

(304) 263-8911

Fax

(304) 263-9098

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Summer D Moore

Title

Office Manager

Phone

(304) 263-8911

Specialties & licenses 1

Addresses

Other identifiers 3

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

Berkeley Family Medicina Associates 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.

• Berkeley Family Medicine and Urgent Care

  • Physician Assistant
  • Martinsburg, WV
  • NPI 1932440252
  NPD tax ID

Practitioners 1

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

• Julia Patricia Pickard, M.D.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1184664831
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1518028521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY FAMILY MEDICINA ASSOCIATES LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-263-8911"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "51D0234567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011451001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP #",
            "identifier": "C10269",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN STATE GROUP #",
            "identifier": "001709694",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkeley Co Comm on Aging (Berkeley Senior Services)
• Berkeley County Committee on Aging, Inc. (Berkeley Senior Services)
• Berkeley County Council
• Berkeley County Council (Berkeley Day Report Center)
• Berkeley County Emergency Ambulance Authority
• Berkeley Family Medicine (Berkeley Family Medicine Associates, Inc.)
• Berkeley Family Medicine and Urgent Care
• Berkeley Haven Limited Partnership (Care Haven Center)
• Julie M Berkstresser, PA-C
• Donna Bernhardt

• Clinical Medical Laboratory in Martinsburg, WV
• Providers in Martinsburg, 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 May 15, 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.