Coal Mountain Laboratory
NPI #1073100582 in Charleston, West Virginia
Provider Information
- NPI Number
- 1073100582
- Entity Type
- Organization
- Organization Name
- Coal Mountain Laboratory
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 30, 2020
- Last Updated
- May 5, 2021
Practice Location
- Address
- 5321 MACCORKLE AVE SE
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-2221
- Phone
- (502) 235-5795
Authorized Official
- Name
- NICK PFEIFFER
- Title
- CEO
- Phone
- (502) 235-5795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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