Organization · Type 2 NPI

Mountain State Medical Specialties,inc.

Clinical Medical Laboratory · Bridgeport, WV

NPI number 1154747442 Active

Practice location

120 Medical Park Dr Ste 101
Bridgeport, WV 26330-9013

Call (304) 624-7200 Map

Fax (304) 624-0026

Mailing address

125 N 6th St
Clarksburg, WV 26301-2665

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None 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 1154747442

Mountain State Medical Specialties,inc.'s National Provider Identifier is 1154747442, issued on Mar 11, 2014. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Bridgeport, WV. The record was last updated on Mar 11, 2014.