Pediatric Associate
Pediatric Associate is a healthcare organization registered as Clinical Medical Laboratory in Bridgeport, WV, holding Type 2 (organization) NPI 1538256805 since 2006. The authorized official on file is Manzar Momen, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538256805 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatric Associate |
| Practice address | 11 CHENOWETH DR, SUITE A, Bridgeport, WV, 26330 |
| Phone | 3048425777 |
| Fax | 3048423318 |
| Enumeration date | 2006-10-06 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Manzar Momen |
|---|---|
| Title | Office Manager |
| Phone | 3048425777 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | WV11941 | WV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0037268000 | Medicaid | WV | — |
Copy-ready billing details
Provider: Pediatric Associate NPI: 1538256805 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 11 CHENOWETH DR, SUITE A, Bridgeport, WV, 26330
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104937416 | Pediatric Associate | Organization | Legal Medicine | Bridgeport, WV |
Verify this record
Cross-check NPI 1538256805 against the authoritative CMS record: view Pediatric Associate on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Pediatric Associate?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.