NPI 1346892650

West Virginia Laboratories

Organisation Clinical Medical Laboratory South Charleston, WV

Practice location

Address: 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732
Phone: (304) 400-6028
Mailing address: PO Box 4816, Charleston, WV 25364-4816

Authorised official

Name: Zachery Ezra Maynard
Title: Partner, Owner
Phone: (304) 400-6028

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in West Virginia →

Registry record

NPI: 1346892650
Entity type: Organization
NPI issued: 16 Jul 2019
Record last updated: 17 Feb 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.