Organization · Type 2 NPI

Coal Mountain Laboratory

Clinical Medical Laboratory · Charleston, WV

NPI number 1073100582 Active

Practice location

5321 Maccorkle Ave SE
Charleston, WV 25304-2221

Mailing address

10928 Worthington Ln
Prospect, KY 40059-9590

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1073100582

Coal Mountain Laboratory's National Provider Identifier is 1073100582, issued on Dec 30, 2020. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Charleston, WV. The record was last updated on May 5, 2021.