NPIMap

Organization Active NPI

Wheeling Hospital Inc

  • Clinical Medical Laboratory
  • Wheeling, WV
National Provider Identifier
1801940960
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WHEELING HOSPITAL INC
Practice address
30 Medical Park Ste 230
Wheeling, WV 26003-6391
Phone
(304) 242-4660
Fax
(304) 243-6430
NPI assigned
Jan 23, 2007
Organization subpart
Yes
Parent organization
WHEELING HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
James B Murdy
Title
Chief Financial Officer
Phone
(304) 243-3681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

30 Medical Park Ste 230
Wheeling, WV 26003-6391

Mailing address

30 Medical Park Ste 230
Wheeling, WV 26003-6391
Phone (304) 242-4660

Other identifiers 1

IdentifierTypeStateIssuer
0001131012MedicaidWV

Other names 1

  • Medical Park Physician Associates Laboratory 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
51D0695276David Mosman of Wheeling Hospital30 Medical Parke Suite 211, Wheeling, WV 26003Certificate of waiverAug 31, 2026
51D0886307Wheeling Hospital30 Medical Park Tower 3 Suite 219, Wheeling, WV 26003Certificate of waiverMay 14, 2027
51D0936047Laura E Morris of Wheeling Hospital30 Medical Park Suite 230, Wheeling, WV 26003Provider-performed microscopyJul 26, 2027
51D2077160Wheeling Pediatrics of Wheeling Hospital30 Medical Park Suite 221, Wheeling, WV 26003Certificate of waiverApr 30, 2028
51D2287226Wheeling Hospital30 Medical Park Suite 221, Wheeling, WV 26003Certificate of waiverAug 9, 2027
51D2292867Wheeling Hospital30 Medical Park Suite 232, Wheeling, WV 26003Provider-performed microscopyOct 30, 2027

National Provider Directory

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

Other organizations with this tax ID 28

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

View all 28

Locations

30 Medical Park
Ste 230
Wheeling, WV 26003
Phone (304) 242-4660

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1801940960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK STE 230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036391",
            "telephone_number": "304-242-4660",
            "fax_number": "304-243-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK STE 230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036391",
            "telephone_number": "304-242-4660",
            "fax_number": "304-243-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELING HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHEELING HOSPITAL INC",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "MURDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "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": "0001131012",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Park Physician Associates Laboratory",
            "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 Jun 27, 2019; 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.