MOUNTAINEER LABORATORIES LLC


Address: 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344
Phone: 3045931369

MOUNTAINEER LABORATORIES LLC (NPI# 1629520853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629520853
Entity Type Organization
Organization Name MOUNTAINEER LABORATORIES LLC
Other Organization Name MOUNTAINEER TOXICOLOGY
Practice Address 1410 Jefferson Blvd # B
Point Pleasant
WV 25550-1344
Mailing Address 3 Pebble Lane
Point Pleasant
WV 25550-0470
Practice Telephone 3045931369
Mailing Telephone 3045931369
Enumeration Date 2016-11-04
Last Update Date 2017-01-10
Authorized Official Name JAMES TODD BOWEN (OWNER)
Authorized Official Telephone 3045931369
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Mountaineer Toxicology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376081612 Mountaineer Laboratories LLC Clinical Medical Laboratory 1337 Virginia St E, Charleston, WV 25301-3011 2017-02-07

Office Location

Street Address 1410 JEFFERSON BLVD # B
City POINT PLEASANT
State WV
Zip Code 25550-1344

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588277750 Alexis Michelle Mckeever Technician 2nd Street 502 B, Point Pleasant, WV 25550 2020-08-28
1427513522 Lori D. Arbogast Registered Nurse 1794 Letart Rd, Point Pleasant, WV 25550 2019-02-04
1386150902 Michael Holland Social Worker 3471 Ohio River Road, Point Pleasant, WV 25550 2017-12-19
1013183144 Mason County Emergency Ambulance Authority Ambulance 239 Jackson Avenue, Pt Pleasant, WV 25550 2008-05-08
1376761015 William Richard Tibbetts Specialist/Technologist 2627 Mt Vernon Ave, Point Pleasant, WV 25550 2007-04-20
1730222076 Pleasant Valley Home Medical Equipment Durable Medical Equipment & Medical Supplies 1011 Viand St., Point Pleasant, WV 25550 2007-02-15
1679633879 Michael Joseph Calandros Chiropractor 2105 Jefferson Avenue, Point Pleasant, Point Pleasant, WV 25550 2006-12-11
1851469480 James P Wagner Family Medicine 708 Viand Street, Point Pleasant, WV 25550 2006-12-01
1699843375 Home Care Medical Equipment Durable Medical Equipment & Medical Supplies Third and Viand Street, Point Pleasant, WV 25550 2006-12-01
1962578690 Riad A Hanna Dentist 703 22nd Street, Point Pleasant, WV 25550 2006-11-27
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235784745 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1345 Mercer St, Princeton, WV 24740-3033 2019-08-02
1346892650 West Virginia Laboratories Clinical Medical Laboratory 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732 2019-07-16
1831674084 Appalachian Labs of Wv LLC Clinical Medical Laboratory 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 2018-10-03
1720567241 Tug River Health Association, Inc. Clinical Medical Laboratory 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 2018-08-07
1245765684 Bds Healthcare LLC Clinical Medical Laboratory 1451 Earl L Core Rd, Morgantown, WV 26505-0314 2017-04-24
1538608757 Vitas Laboratory LLC Clinical Medical Laboratory 5487 Country Club Rd, Grafton, WV 26354-8762 2017-02-21
1376081612 Mountaineer Laboratories LLC Clinical Medical Laboratory 1337 Virginia St E, Charleston, WV 25301-3011 2017-02-07
1831647403 West Virginia Drug Testing Laboratories Clinical Medical Laboratory 108 S Walker St, Princeton, WV 24740-2745 2016-09-13
1811443302 Reality Check Drug Testing Clinical Medical Laboratory 550 N Eisenhower Dr, Beckley, WV 25801-3109 2016-08-25
1154747442 Mountain State Medical Specialties,inc. Clinical Medical Laboratory 120 Medical Park Dr Ste 101, Bridgeport, WV 26330-9013 2014-03-11
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Competitor

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City POINT PLEASANT
Zip Code 25550

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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