WVU OBSTETRICS & GYNECOLOGY-BRIDGEPORT
NPI 1457605404
Clinical Medical Laboratory in Bridgeport, WV

NPI Status: Active since October 30, 2012

Contact Information

527 MEDICAL PARK DR
SUITE 108
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 848-2152

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 51D2241252
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-25-2027

About WVU OBSTETRICS & GYNECOLOGY-BRIDGEPORT

This page provides the complete NPI Profile along with additional information for Wvu Obstetrics & Gynecology-bridgeport, a provider established in Bridgeport, West Virginia operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1457605404 assigned on October 2012. The practitioner's primary taxonomy code is 291U00000X with license number 51D2012387 (WV). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Wvu Obstetrics & Gynecology-bridgeport. The authorized official of this NPI record is Terry D Miller (Provider Enrollment Specialist)

NPI
1457605404
Provider Legal Name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Other Organization Name
WVU OBSTETRICS & GYNECOLOGY-BRIDGEPORT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
527 MEDICAL PARK DR SUITE 108 BRIDGEPORT, WV 26330
Location Phone
(304) 848-2152
Mailing Address
P O BOX 780 MORGANTOWN, WV 26507
Mailing Phone
(304) 285-7101
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2012
Last Update Date
10-30-2012
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Establishments like Wvu Obstetrics & Gynecology-bridgeport are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
51D2012387
License State
WV
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERRY D MILLER

Authorized Official Title
PROVIDER ENROLLMENT SPECIALIST
Authorized Official Phone
(304) 285-7101

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0011526000MEDICAID (05)WV 
9121131MEDICARE PIN (08) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D2241252
Facility Type
Physician Office
Certificate Effective Date
October 26, 2025
Certificate Expiration Date
October 25, 2027
Laboratory Director
DR. RICHARD W. KING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wvu Obstetrics & Gynecology-bridgeport to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WVU OBSTETRICS & GYNECOLOGY-BRIDGEPORT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457605404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 2 + 0 + 1 + 0 + 4 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457605404.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Surgery
527 MEDICAL PARK DR, STE 202
BRIDGEPORT, WV 26330
Surgery
527 MEDICAL PARK DR, STE 303
BRIDGEPORT, WV 26330
Plastic Surgery
527 MEDICAL PARK DR, SUITE 203
BRIDGEPORT, WV 26330
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 108
BRIDGEPORT, WV 26330
Internal Medicine (Pulmonary Disease)
527 MEDICAL PARK DR, SUITE 102
BRIDGEPORT, WV 26330
Social Worker
527 MEDICAL PARK DR, SUITE 105
BRIDGEPORT, WV 26330
Clinic/Center (Pain)
527 MEDICAL PARK DR, SUITE 103
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 104
BRIDGEPORT, WV 26330
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 104
BRIDGEPORT, WV 26330
Internal Medicine
527 MEDICAL PARK DR, SUITE 307
BRIDGEPORT, WV 26330
Clinic/Center (Adult Mental Health)
527 MEDICAL PARK DR, SUITE 105
BRIDGEPORT, WV 26330
Emergency Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Internal Medicine
527 MEDICAL PARK DR, SUITE 307
BRIDGEPORT, WV 26330
Nurse Practitioner (Psychiatric/Mental Health)
527 MEDICAL PARK DR, SUITE 105
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Counselor (Mental Health)
527 MEDICAL PARK DR
BRIDGEPORT, WV 26330
Counselor (Addiction (Substance Use Disorder))
527 MEDICAL PARK DR
BRIDGEPORT, WV 26330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457605404, enumerated as an "organization" on October 30, 2012.

The provider is located at 527 MEDICAL PARK DR SUITE 108 BRIDGEPORT, WV 26330 and the phone number is (304) 848-2152.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.