MEDICARE: ASSOCIATED PATHOLOGISTS OF HUNTINGTON, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942203443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED PATHOLOGISTS OF HUNTINGTON, INC.

Provider Business Mailing Address
First Line	:	PO BOX 130
Second Line	:
City	:	MAXWELTON
State	:	WV
Zip	:	24957-0130
Country	:	US
Telephone Number	:	304-645-4090
Fax Number	:	304-645-4702

Provider Business Practice Location Address
First Line	:	2900 1ST AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702-1241
Country	:	US
Telephone Number	:	304-526-1081
Fax Number	:	304-526-1538

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN C HARRIS
Credential	:	MD
Telephone Number	:	304-526-1081

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/22/2020

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