SOUTH CHARLESTON PEDIATRICS
NPI 1962563593
Clinical Medical Laboratory in Charleston, WV

Active since December 13, 2006
4607 MACCORKLE AVE SW, STE 400, CHARLESTON, WV 25309(304) 766-4400(304) 766-4417 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Charleston Pediatrics NPPES

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

SOUTH CHARLESTON PEDIATRICS (NPI 1962563593) is a healthcare organization registered as a clinical medical laboratory in Charleston, West Virginia and active in the NPI registry since December 2006. The organization lists Jamie Beth Ray, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962563593
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOUTH CHARLESTON PEDIATRICS
Location Address4607 MACCORKLE AVE SW, STE 400Charleston, WV 25309-1364
Mailing Address4607 Maccorkle Ave Sw, Ste 400Charleston, WV 25309-1364 · (304) 766-4400 · Fax (304) 766-4417
Fax(304) 766-4417
Organization SubpartNo
Authorized OfficialJamie Beth RayOffice Manager · (304) 766-4469
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1962563593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
4607 MACCORKLE AVE SW, Charleston, WV 25309

Other Identifiers 1

Medicaid6705182000WV

Other Providers at the Same Location NPPES 20

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

Pediatrics
4607 MACCORKLE AVE SW, STE 400
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204
SOUTH CHARLESTON, WV 25309
Specialist
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4607 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, MP STE 204
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Internal Medicine
4607 MACCORKLE AVE SW, SUITE MP200
SOUTH CHARLESTON, WV 25309

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 South Charleston Pediatrics's NPI number?

The NPI number for South Charleston Pediatrics is 1962563593. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is South Charleston Pediatrics located?

South Charleston Pediatrics is located at 4607 Maccorkle Ave SW Ste 400, Charleston, WV 25309. The listed phone number is (304) 766-4400.

What is South Charleston Pediatrics's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for South Charleston Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.