FAIRVIEW CLINICAL LAB – NPI #1720224009
Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

FAIRVIEW CLINICAL LAB is a clinical medical laboratory located in FAIRVIEW, WV. NPPES has assigned the NPI number 1720224009 to FAIRVIEW CLINICAL LAB on December 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAIRVIEW CLINICAL LAB” is a dba name, the actual legal business name for this organization is FAIRMONT MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRVIEW CLINICAL LAB below.

NPI Profile for
FAIRMONT MEDICAL GROUP, INC.

NPI Number
1720224009
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIRMONT MEDICAL GROUP, INC.
Doing Business As (dba): FAIRVIEW CLINICAL LAB
Primary location
400 MAIN STREET
FAIRVIEW, WV 26570
Phone: (304) 367-8710 Fax: (304) 366-9529
Mailing address
PO BOX 1112
FAIRMONT, WV 26555-1112
Phone: (304) 367-8710 Fax: (304) 366-9529
Organization Subpart
Yes - FAIRVIEW CLINICAL LAB is subpart of another organization.
Authorized Official
NANCY VANDERGRIFT
PRESIDENT
Phone: (304) 368-8740
Updated
Identifiers

Identifiers for FAIRVIEW CLINICAL LAB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIA #WV51D0967596
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.