West Virginia Drug Testing Laboratories,

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

51D1086270 Issued in WV

Legal business name

WEST VIRGINIA DRUG TESTING LABORATORIES,

Practice address

108 S Walker St
Princeton, WV 24740-2745

Phone

(304) 487-8485

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

William B Jessee

Title

Executive Director

Phone

(304) 487-8485

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• West Virginia Drug Testing Laboratories Inc

  • Clinical Medical Laboratory
  • Ronceverte, WV
  • NPI 1093091936

  O20110413000111

  Same enrollment
• West Virginia Drug Testing Laboratories Inc

  • Clinical Medical Laboratory
  • Parkersburg, WV
  • NPI 1508169319

  O20110413000111

  Same enrollment

Tax ID family

West Virginia Drug Testing Laboratories Inc3 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.

• West Virginia Drug Testing Laboratories Inc

  • Clinical Medical Laboratory
  • Ronceverte, WV
  • NPI 1093091936
  NPD tax ID
• West Virginia Drug Testing Laboratories Inc

  • Clinical Medical Laboratory
  • Parkersburg, WV
  • NPI 1508169319
  NPD tax ID

Locations

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1831647403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S WALKER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402745",
            "telephone_number": "304-487-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S WALKER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402745",
            "telephone_number": "304-487-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA DRUG TESTING LABORATORIES,",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "JESSEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-487-8485"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "51D1086270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Katherine Weiss, MSW, LICSW
• Mark Anthony Weitzel, D.O.
• Laken J Wellman
• Theodore Paul Werblin, MD
• West Virginia CVS Pharmacy LLC
• Alexus Westfall, LPN
• Corey Westfall, PRSS
• Erik John Weston, OTR/L
• Amber White
• April Lee White, NP-C

• Clinical Medical Laboratory in Princeton, WV
• Providers in Princeton, 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 Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.