Healthcare Provider Details

I. General information

NPI: 1942203443
Provider Name (Legal Business Name): ASSOCIATED PATHOLOGISTS OF HUNTINGTON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 1ST AVE
HUNTINGTON WV
25702-1241
US

IV. Provider business mailing address

PO BOX 130
MAXWELTON WV
24957-0130
US

V. Phone/Fax

Practice location:
  • Phone: 304-526-1081
  • Fax: 304-526-1538
Mailing address:
  • Phone: 304-645-4090
  • Fax: 304-645-4702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN C HARRIS
Title or Position: PRESIDENT
Credential: MD
Phone: 304-526-1081