OrganizationActive
Pediatric Associate
NPI 1538256805 · Clinical Medical Laboratory · Bridgeport, WV
Pediatric Associate is a Clinical Medical Laboratory organization in Bridgeport, WV (NPI 1538256805).
Provider details
- NPI number
- 1538256805
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Manzar Momen, Office Manager(304) 842-5777
- License
- WV11941 (WV)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 Chenoweth Dr
Suite a
Bridgeport, WV 26330-1675
Phone: (304) 842-5777
Fax: (304) 842-3318
Street-level locationGet directions
Mailing address
11 Chenoweth Dr
Bridgeport, WV 26330-1675
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Associate's NPI number?
- Pediatric Associate's National Provider Identifier (NPI) is 1538256805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Associate?
- Pediatric Associate is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Pediatric Associate located?
- Pediatric Associate's practice location on file with NPPES is 11 Chenoweth Dr, Bridgeport, WV 26330-1675.
- What is Pediatric Associate's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Associate is (304) 842-5777.
- Who is the authorized official for Pediatric Associate?
- The authorized official listed on Pediatric Associate's NPPES record is Manzar Momen, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Associate's NPI active?
- Yes — Pediatric Associate's NPI (1538256805) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.