OrganizationActive
Blue Ridge Internal Medicine Inc.
NPI 1558557090 · Clinical Medical Laboratory · Princeton, WV
Blue Ridge Internal Medicine Inc. is a Clinical Medical Laboratory organization in Princeton, WV (NPI 1558557090).
Provider details
- NPI number
- 1558557090
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Blue Ridge Internal Medicine Inc.
- Organization subpart
- Yes
- Authorized official
- Jacinda Smith, Administrator(304) 487-0232
- License
- 1804 (WV)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
407 12th Street Ext
Princeton, WV 24740-2300
Phone: (304) 487-0232
Fax: (304) 487-0285
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5065
Princeton, WV 24740-5065
Other names (DBA / former)
- Other name
- Blue Ridge Internal Medicine Lab
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2008-07-10
Frequently asked questions
- What is Blue Ridge Internal Medicine Inc.'s NPI number?
- Blue Ridge Internal Medicine Inc.'s National Provider Identifier (NPI) is 1558557090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Internal Medicine Inc.?
- Blue Ridge Internal Medicine Inc. is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Blue Ridge Internal Medicine Inc. located?
- Blue Ridge Internal Medicine Inc.'s practice location on file with NPPES is 407 12th Street Ext, Princeton, WV 24740-2300.
- What is Blue Ridge Internal Medicine Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Internal Medicine Inc. is (304) 487-0232.
- Who is the authorized official for Blue Ridge Internal Medicine Inc.?
- The authorized official listed on Blue Ridge Internal Medicine Inc.'s NPPES record is Jacinda Smith, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Internal Medicine Inc.'s NPI active?
- Yes — Blue Ridge Internal Medicine Inc.'s NPI (1558557090) is active in the NPPES registry as of the last update on 2008-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.