Kanawha Surgicenter Lab

LBN: Kanawha Surgicenter
Kanawha Surgicenter Lab is an health care organization with primary practice located at 4803 Maccorkle Ave Se , Charleston WV 25304-1948. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Kanawha Surgicenter can be contacted via phone (304) 925-6390, or through Harish, Gorli via phone (304) 925-6390.

Contact Information

Primary practice address
4803 Maccorkle Ave Se Charleston WV 25304-1948
Phone: (304) 925-6390
Fax: (304) 925-7931
Website:
Map and Directions
Authorized official contact:
Name: Harish, Gorli Doctor of Medicine (MD)
Phone: (304) 925-6390

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 10453 West Virginia

Profile Details

NPI number 1205933421
LBN Legal business name Kanawha Surgicenter
DBA Doing business as Kanawha Surgicenter Lab
Authorized official Harish, Gorli Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205933421 NPPES
West Virginia MEDICAID 0009812000
West Virginia MEDICAID 0038025000

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