NPI 1205933421

Kanawha Surgicenter

Organisation Clinical Medical Laboratory Charleston, WV

Practice location

Address: 4803 Maccorkle Ave SE, Charleston, WV 25304-1948
Phone: (304) 925-6390
Fax: (304) 925-7931

Authorised official

Name: Gorli Harish
Title: Director
Phone: (304) 925-6390

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 10453 (WV)

Other Clinical Medical Laboratory providers in West Virginia →

Registry record

NPI: 1205933421
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.