Wvdhhr/Office of Laboratory Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WVDHHR/OFFICE OF LABORATORY SERVICES

Practice address

167 11TH Ave
South Charleston, WV 25303-1114

Phone

(304) 558-3530

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Mary Labik, SC.D.

Title

Director

Phone

(304) 558-3530

Specialties & licenses 1

Addresses

Other identifiers 1

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

WV Birth to Three3 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.

• WV Birth to Three

  • Early Intervention Provider Agency
  • Charleston, WV
  • NPI 1871358663
  NPD tax ID
• Wvvdhhr Div. Surveillance & Disease Control

  • Case Management Agency
  • Charleston, WV
  • NPI 1578626081
  NPD tax ID

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1568547651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 11TH AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031114",
            "telephone_number": "304-558-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 11TH AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031114",
            "telephone_number": "304-558-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WVDHHR/OFFICE OF LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "LABIK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-558-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SC.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038214000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Wright
• Montoria Wright
• Dwayne Edgar Wriston
• Nathalie Wujtow, OTR
• WV Medical Services, Inc
• Wvupc Kanawha Valley FP (Lab)
• Wvupc Kanawha Valley FP (Paasgrp)
• Amanda J Wyant, LMT
• Cristen Dawn Wyatt-Young, MSW
• Shiela Wyatt

• Clinical Medical Laboratory in South Charleston, WV
• Providers in South Charleston, 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 Jul 10, 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.