Provider Demographics
NPI:1255421541
Name:NEXUS MEDICAL SERVICES INC
Entity type:Organization
Organization Name:NEXUS MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRENCH
Authorized Official - Middle Name:CARLTON
Authorized Official - Last Name:MCCLUNG
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:1800-875-1942
Mailing Address - Street 1:1621 GOFF AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-1611
Mailing Address - Country:US
Mailing Address - Phone:800-875-1942
Mailing Address - Fax:
Practice Address - Street 1:4893 STATE ROUTE 30
Practice Address - Street 2:SUITE8
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6494
Practice Address - Country:US
Practice Address - Phone:724-600-0607
Practice Address - Fax:724-600-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-15
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA029053291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1014846900001Medicaid
PA1727625OtherHIGHMARK
PA1014846900001Medicaid
PA091218Medicare ID - Type UnspecifiedX-RAY
PA1014846900001Medicaid