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LOGAN PEDIATRICS, INC
NPI 1396409173
Clinic/Center - Rural Health in Logan, WV

Active since October 27, 2021CLIA Certified · 2 labs
300 PROSPERITY LANE, SUITE 100, LOGAN, WV 25601(304) 831-0073(304) 831-0076 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Logan Pediatrics, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN PEDIATRICS, INC (NPI 1396409173) is a healthcare organization registered as a rural health in Logan, West Virginia and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Okpani Martin Nnachi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1396409173
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLOGAN PEDIATRICS, INC
Location Address300 PROSPERITY LANE, SUITE 100Logan, WV 25601
Mailing Address300 Prosperity Lane, Suite 100Logan, WV 25601 · (304) 831-0073 · Fax (304) 831-0076
Phone(304) 831-0073
Fax(304) 831-0076
Organization SubpartNo
Authorized OfficialOkpani Martin NnachiMedical Director · (304) 831-0073
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1396409173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
300 PROSPERITY LANE, Logan, WV 25601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1048463

Logan Pediatrics Inc · Logan, WV
Active · expires Dec 1, 2027
CLIA Number51D1048463
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorOkpani M. Nnachi MD
Laboratory Phone(304) 831-0073
Laboratory LocationLogan Pediatrics Inc300 Prosperity Lane # 100, Logan, WV 25601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 51D1051262

Logan Pediatrics Inc · Chapmanville, WV
Active · expires Feb 26, 2028
CLIA Number51D1051262
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorDr. Okpani M. Nnachi
Laboratory Phone(304) 831-0073
Laboratory LocationLogan Pediatrics Inc354 Airport Road Suite 100, Chapmanville, WV 25508
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMAD B FARIDI MD
Internal Medicine (Nephrology)
300 PROSPERITY LANE, SUITE 203
LOGAN, WV 25601
Logan County (304) 752-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Pediatrics, Inc's NPI number?

The NPI number for Logan Pediatrics, Inc is 1396409173. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Logan Pediatrics, Inc located?

Logan Pediatrics, Inc is located at 300 Prosperity Lane Suite 100, Logan, WV 25601. The listed phone number is (304) 831-0073.

What is Logan Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Logan Pediatrics, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Logan Pediatrics, Inc accept?

Health plans from CareSource list Logan Pediatrics, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Pediatrics, Inc was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.