{"npi":"1346249448","type":"NPI-2","status":"active","name":{"display":"Kanawha Pathology Associates INC","other":[],"organization_name":"KANAWHA PATHOLOGY ASSOCIATES INC","authorised_official":"Robert Fulks"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4605 MACCORKLE AVE SW","city":"SOUTH CHARLESTON","state":"WV","postal_code":"253091311","country_code":"US","phone":"3047663560"},{"purpose":"MAILING","street_1":"PO BOX 9129","city":"SOUTH CHARLESTON","state":"WV","postal_code":"253090129","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0008272000","state":"WV","issuer":null},{"type_code":"01","label":"Other","value":"DA0748","state":null,"issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-20","last_updated":"2007-10-11","_meta":{"source":"NPPES","snapshot_date":"2007-10-11","doc_url":"https://findmynpi.com/api"}}